Get a Second Opinion – Summit Orthopaedics and Sports Medicine

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Get a Second Opinion

At Summit, we understand that navigating healthcare decisions can be overwhelming, which is why we offer a comprehensive second opinion service to help you feel confident in your choices. Seeking a second opinion can confirm your diagnosis, explore alternative treatment options, and provide peace of mind. Our process is simple: submit your medical history and current diagnosis through our online form, and our expert physicians will conduct a thorough review of your records, including test results and treatment plans. You’ll then have a consultation to discuss our findings and recommendations. This service is suitable for anyone facing significant medical decisions, whether you are uncertain about your current treatment or seeking validation of a diagnosis. Contact us today to take the next step in your healthcare journey—your health is important, and we are here to support you every step of the way.

Personal Information

Full Name

Gender

Phone Number

Email Address

Medical History

Current Medical Condition(s)

Previous Diagnoses

Past Surgeries/Procedures

Allergies

Current Medications (name, dosage, frequency)

Chronic Conditions

Family History of Medical Conditions

Smoking/Alcohol/Drug Use History

Vaccination Status

Current Diagnosis and Treatment

Current Diagnosis/Condition for Second Opinion

Date of Diagnosis

Tests Conducted (e.g., blood tests, imaging, etc.)

Current Treatment Plan

Treating Physician’s Name and Specialty

Symptoms and Health Concerns

Detailed Description of Current Symptoms

Onset of Symptoms

Frequency and Duration of Symptoms

Triggers or Factors that Worsen/Relieve Symptoms

Reason for Seeking a Second Opinion

Specific Questions for the Second Opinion

Concerns About Current Treatment/Diagnosis

Preferred Outcome from the Second Opinion

Consent

Consent for Medical Records Review
I consent to the review of my medical records

Consent for Electronic Communication (email, SMS, etc.)
I consent to receive communication via email or SMS

Upload Section

Upload Medical Records

Upload Diagnostic Imaging (e.g., X-rays, MRIs)

Upload Laboratory Results

Upload Treatment Plans from Current Physician

Preferred Method of Communication & Additional Comments

Preferred Method of Communication

Additional Comments or Questions