SECOND OPINION BASED ON YOUR REPORTS WITH CARDIOLOGIST OR CARDIOVASCULAR SURGEON DOCTOR

STEP 1: FILL YOUR DATA

Welcome to your Second Opinion Form

Patient Full Name
Patient Email
Patient Phone
Your medical problem? (required)
Want to send us any report or photo?
More reports or photos?
Need to add more reports or photos?

Instructions:

  1. Please fill the data fields, and if you want to describe your health problem.
  2. Add all your reports and photos. And later you can send more reports by email if you need.
  3. Submit the form by click “Submit button”
  4. Next step you can choose your doctor, type (Standard or Urgent), and make the online payment or bank transfer

 

Next step you can choose doctor, type (standard or urgent) and the payment