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Request Your Second Opinion
Discuss your wish to have a remote second opinion with your physician. 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.
Review the checklist with your physician to determine which medical records are appropriate to send to Johns Hopkins Gastroenterology and Hepatology and obtain a copy of those medical records. Your physician's office and/or hospital may assess a fee for providing you a copy of your records. Johns Hopkins Gastroenterology and Hepatology is not responsible for fees charged by other health care providers in the assembling of your medical records for a remote second opinion.
Download and fill out:
Once you have all of this information:
- Consultation Request Form
- Applicable medical records, X-ray films and pathological slides (use this checklist to make sure you have everything)
- Patient Intake Form
- Patient Disclaimer Form
- Medical History Questionnaire
Send by mail or courier (do not fax) to:
Johns Hopkins Medical Second Opinion Program
ATTN: Johns Hopkins USA
Location: 1300 Thames St, Suite 200
Baltimore, MD 21231
We recommend that 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 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.
Please note that you cannot cancel your request once your credit card has been charged and work has begun on reviewing your medical history to render an opinion. Please let us know if there are extenuating circumstances.
Within approximately 10 business days of receipt of medical records, a Johns Hopkins full-time faculty member will mail a written report to the physician who authorized your remote second opinion.
For patients residing in the United States with questions about the Johns Hopkins second opinion program, please call 410-464-6555 or e-mail firstname.lastname@example.org.