Second opinions

This form is for patients, parents/guardians, family or friends to submit a second opinion request for the specialists at Children's Hospital of Wisconsin.We will call you within 48 business hours to better understand your needs and gather more pertinent medical information.

If you reside within the state of Wisconsin and would like an appointment  for a second opinion, please use our online appointment request form.

Second Opinions

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Date of birth
Patient's gender

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Specialty you would like to provide the second opinion




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