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School of Medicine
Ready to request your remote medical second opinion from Johns Hopkins Otolaryngology-Head and Neck Surgery. Follow these eight steps to get started today.
Step 1: Talk to your physician
Discuss with your physician why you would like to have a second opinion from Johns Hopkins Otolaryngology-Head and Neck Surgery. After reviewing our terms & conditions, print and complete the Consultation Request Form and have your physician sign it. We are unable to provide this service without your physician's acknowledgement and permission.
We cannot offer medical second opinions to patients who are residents of or have current mailing addresses in Iowa, Louisiana, Maine, Michigan, and North Dakota. If you are a resident of one of these states and wish to have a second opinion from a Johns Hopkins otolaryngologist, we are happy to assist you in making an appointment to be seen at one of our offices in the Baltimore metropolitan area. Please call 410-464-6555.
Step 2: Gather your medical records
Review the Second Opinion Checklist with your physician to determine which medical records are appropriate to send to Johns Hopkins Otolaryngology-Head and Neck Surgery and obtain a copy of those medical records and the reports of any diagnostic studies you have undergone in the course of being treated for your condition. In addition to the reports, it would be helpful to have copies of your slides or films. Please note that your physician's office and/or hospital may charge a fee for providing you a copy of your records. Johns Hopkins Otolaryngology-Head and Neck Surgery is not responsible for fees charged by other health care providers in the assembling of your medical records for a medical second opinion.
Step 3: Fill out the Patient Intake Form
Complete the online Patient Intake Form When completed, print and include it with your applicable medical records.
Step 4: Fill out the Medical History Questionnaire
Complete the Medical History Questionnaire and include it with your applicable medical records.
Step 5: Fill out the Patient Disclaimer Form
Carefully review, date and sign the Patient Disclaimer Form
Step 6: Fill out the Payment Authorization
Complete the online Payment Authorization When completed, print, sign and include it with your medical records. If payment authorization is not provided, Johns Hopkins Otolaryngology-Head and Neck Surgery is not responsible for fees charged by other health care providers in the assembling of your medical records for a medical second opinion.
Step 7: Mail in your completed documents
Please send us the following completed documents:
Consultation Request Form
Applicable medical records, x-ray films and corresponding radiology and/or pathology reports
Patient Intake Form
Medical History Questionnaire
Patient Disclaimer Form
Payment Authorization Form
Johns Hopkins Medical Second Opinion Program
ATTN: Johns Hopkins USA
1300 Thames Street, Suite 200
Baltimore, MD 21231
Tel (toll free): 1-855-695-4872
We recommend all correspondence be sent via a courier (FedEx, UPS, DHL, registered US Postal Mail, etc.) that tracks the delivery of packages and requires a signature when the package you sent arrives at Johns Hopkins. Johns Hopkins does not assume liability for medical records lost by any courier, nor does Johns Hopkins endorse a specific courier. The patient assumes all liability related to the decision to use a particular courier or mail service.
Step 8: Receive your medical second opinion
Within 10 business days of receipt of medical records, a Johns Hopkins full-time faculty member will mail written reports to you and the physician that authorized your medical second opinion.