ClaraMed™ — Request a Second Opinion

World-class quality · Instant access · Breaking language barriers

Who is this case for?

Step 1 of 5

Submitter

Patient & Case

Medical Details

Preferences

Review

Step 1 of 5

Who is this case for?

Many ClaraMed cases are submitted by family members on behalf of a patient. Tell us who you are so we can tailor the process correctly.

I am submitting this case as *

🧑‍⚕️

The patient

I am seeking a second opinion for myself

👨‍👩‍👧

A family member or authorized representative

I am an authorized representative submitting on behalf of a patient with their consent or appropriate legal authorization

👨‍👩‍👧 About you — the person submitting

Your first name *

Your last name *

Your email address * All communications will go to you

Your phone number * Include country code

Your relationship to the patient *

First name *

Last name *

Email address *

Phone number * Include country code

Country of residence *

How urgent is this case? *

Select one option to continue

📋

Routine

No immediate treatment deadline · 7 days is fine

⏰

Soon

Treatment decision needed within 2–3 weeks

🚨

Urgent

Surgery or treatment scheduled within days

Step 2 of 5

About the patient

Tell us about the patient and the case.

Date of birth *

Sex at birth *

Primary diagnosis or concern

Medical subspecialty *

Primary diagnosis (if confirmed) Optional — enter what you have been told

What specific question do you want the physician to answer? *

Step 3 of 5

Medical background

Background on the patient's medical history and current situation. All information is handled under strict HIPAA-aligned protocols.

Important — do not upload records here. After submitting this form, our team will send you a secure our HIPAA-compliant secure portal within 24 hours. All medical records are shared through our HIPAA-compliant encrypted portal — never through this form.

When was the current diagnosis first made? Approximate is fine

What treatment has been recommended or already started? *

Significant past medical history Optional — list major conditions, surgeries, allergies

Primary language of medical records *

Preferred language for the written expert opinion *

Anything else our team should know before reviewing this case? Optional

Step 4 of 5

Your preferences

Choose your service service and the charity donation included with your case.

Service tier *

Standard

$2,500

Single physician · 7 days

✓ Written expert opinion

✓ digitally prepared case

✓ Named physician

✓ Shareable with your primary care physician

Includes $250 charity donation

Most requested

Comprehensive

$3,500

Senior physician · 5 to 7 business days

✓ Written expert opinion

✓ digitally prepared case

✓ Translation included

Includes $350 charity donation

Premium

$5,000

Two physicians · 3–5 days

✓ Written expert opinion

✓ digitally prepared case

✓ Priority delivery

Includes $500 charity donation

Choose your charity

Your included charitable donation made by ClaraMed goes to *

✓

Direct Relief

100/100 Charity Navigator · Global · 80+ countries

Medical resources and humanitarian aid across 80+ countries. The highest possible Charity Navigator score.

✓

Partners in Health

Harvard-affiliated · 4-star Charity Navigator · Global

World-class healthcare for underserved communities. Founded by Harvard Medical School faculty since 1987.

✓

UNICEF

United Nations · 190+ countries · universally recognised

The UN Children's Fund — protecting children's health and access to care in 190+ countries. Recognised in every country ClaraMed serves.

✓

Aga Khan Foundation

4-star Charity Navigator · Gulf · South Asia · East Africa

Healthcare and development across the Gulf, South Asia, and East Africa. Deeply respected in Muslim communities globally.

✓

Islamic Relief Worldwide

4-star Charity Navigator · 40+ countries · Gulf · South Asia · Africa

One of the world's largest Muslim charities — healthcare and community development across the Gulf, South Asia, and Africa.

✓

Doctors Without Borders

Nobel Peace Prize 1999 · 70+ countries · independent

Médecins Sans Frontières — independent medical humanitarian care in crisis zones and underserved communities worldwide.

If your preferred language physician is unavailable What would you prefer?

English opinion with a translated summary in my preferred language ClaraMed prepares a 200-word summary of key findings and recommendations in your language at no extra cost

English opinion only — I am comfortable reading English

Please wait for a physician in my preferred language if possible May add 2 to 3 additional business days

How did you hear about ClaraMed? *

By submitting this form you confirm that the information provided is accurate. ClaraMed will contact you within 24 hours to confirm your case and send a secure record upload link. No payment is collected through this form — payment details will be shared after case confirmation.

Step 5 of 5

Review & submit

Please review your case details before submitting. Our team will contact you within 24 hours to confirm and send your secure record upload link.

What happens next: Within 24 hours our team will personally review your case, confirm the details, and send you a secure, HIPAA-aligned upload link for your medical records. No payment is required until your case is confirmed.

✓

Case submitted

Thank you. Our team will personally review your case and contact you within 24 hours with a secure record upload link and case confirmation.

Questions? Contact us at contact@claramed.us

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