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Second Opinion

 

Medical Second Opinion has been gaining popularity whereby the beneficiary’s medical records are reviewed in confidence by a medical specialist and opinions are shared on the suggested lines of treatment.

 

We´ll put you in touch with the leading specialists and medical institutions, giving you comprehensive service that´s easy to access, and personalized to your needs.

 

Please fill up the below form in full and submit. Your query will be processed only if all the relevant information is given. Please avoid the use of abbreviation. The information provided will be kept completely confidential.
 

General Information

Name:
Vidal Health/Vidal ID/Policy Number:   
Email:
Mobile No:

Your Query Details

Patient's Name:
Age:
Gender: Male        Female
Symptoms & Signs:
Duration: Years: Months: Days:
Family Doctor/
Treating Doctor's Name:
  
Provisional/
Confirmed Diagnosis:
Medical Documents
(Upload):
Medical Query: 1:
2: