ClaraMed™ — Hospital Partner Inquiry

Section 1 of 5

Organisation profile

Tell us about your hospital or health system. This helps us understand the patient population you serve and how a ClaraMed partnership would be structured.

Thank you for your interest in partnering with ClaraMed. Misdiagnosis affects 11% of patients globally. 1 in 3 cancer patients get a changed diagnosis after independent review. ClaraMed connects your patients with world-class quality, instant access, and multilingual capability. and their families with peer-vetted physicians — physicians cannot self-enroll from leading US academic medical institutions — invited through trusted relationships, not self-enrollment and top US medical institutions for independent written second opinions — delivered in 5 to 7 business days with AI-assisted precision. This form takes approximately 10 minutes to complete.

Organisation / hospital name *

Organisation type *

Country and city of primary operations *

If you have multiple locations, list additional countries or cities Optional

Organisation website *

Year established Optional

Number of beds or annual patient volume Approximate — helps us understand scale

Key accreditations or certifications held Optional

JCI — Joint Commission International

ISO 9001 certification

ACHSI

National Ministry of Health accreditation

HIMSS — Healthcare IT

Other international accreditation

Primary contact

Contact first name *

Contact last name *

Your title / role *

Professional email *

Direct phone number * Include country code

Preferred language for communications *

English

Arabic

Hindi

Mandarin

Portuguese

Spanish

French

Other

Section 2 of 5

Your patient population

Understanding your patient profile helps us design the right partnership model and ensure our specialist network is matched to your most common case types.

Primary nationalities or regions of your patient population * Select all that apply

Saudi Arabia / Gulf states

UAE / Dubai

Qatar / Kuwait / Bahrain / Oman

India / South Asia

Southeast Asia

China / East Asia

Sub-Saharan Africa

North Africa

Latin America

Europe

Mixed — broad international

Primarily domestic / local

Most common clinical specialties for which your patients seek second opinions * Select up to 5

Cardiology & cardiac surgery

Cardiac Anesthesiology

Oncology & hematology

Neurology & neurosurgery

Rare & complex diseases

Orthopedics & spine

Maternal-fetal medicine

Pediatric subspecialties

Radiology & imaging review

Transplant medicine

Endocrinology

Pulmonology

Complex / undiagnosed conditions

Estimated number of patients per month who currently seek second opinions internationally *

Where do your patients currently go for second opinions? Select all that apply

premier US institutions (US or Abu Dhabi)

Mayo Clinic

Johns Hopkins

MD Anderson / major US cancer centers

UK hospitals (NHS / private)

German hospitals

Indian hospitals (AIIMS, Fortis, Apollo)

Thai hospitals

Online second opinion platforms

We do not currently track this

What is the primary barrier for your patients seeking second opinions today? * Select the most significant barrier

Cost — existing programs charge $4,000+ which many patients cannot access

Speed — current options take 2–4 weeks which delays treatment decisions

Language — no accessible physicians who communicate in our patients' language

Access — patients cannot travel to the US or Europe for in-person consultations

Trust — patients are sceptical of open marketplace platforms with unknown physicians

Multiple barriers are equally significant for our patient population

Do patients at your organisation currently pay for second opinions out of pocket, or is it covered by insurance? *

Primarily out of pocket — patients self-pay

Covered by private health insurance

Government or employer-sponsored health coverage

Mixed — varies by patient and case

Section 3 of 5

Partnership model & goals

How you envision the ClaraMed partnership working, what you hope to achieve, and the commercial model that makes sense for your organisation.

How a ClaraMed channel partnership works: Your organisation refers patients to ClaraMed. We manage the full case — patient intake, AI pre-screening, physician matching, opinion delivery, and charity donation. You receive a referral fee or revenue share per completed case. Your patients receive a written expert opinion from a peer-vetted US physician in 5 to 7 business days.

Primary reason for exploring a ClaraMed partnership * Select all that apply

Add a premium second opinion service for our international patients Differentiate from other hospitals in our market

Retain patients who currently travel abroad for second opinions Keep patients in our care pathway rather than losing them to overseas programs

Generate referral revenue from our second opinion case volume Commercial benefit from an existing patient need

Improve patient outcomes through independent expert validation Provide patients with clinical confirmation before major treatment decisions

Offer multilingual second opinions our staff cannot currently provide Access physicians who understand your patients' language and cultural clinical context

Satisfy government or accreditation requirements for second opinion access

Reduce unnecessary surgery costs through mandatory pre-surgical second opinions Insurance companies see 18% reduction in unnecessary procedures when second opinions are mandated

Preferred partnership structure *

Referral fee — fixed amount per completed case referred Simplest model — we refer, you pay us per case upon completion

Revenue share — percentage of case fee per referral Commission model — percentage of patient fee goes to your organisation

White-label — ClaraMed service delivered under our hospital's brand We provide the full service; your patients see it as your offering

Volume contract — fixed monthly fee for a guaranteed case volume Predictable cost for predictable volume — best for high-volume partners

Open to discussion — I would like to explore what works best

Estimated number of cases your organisation could refer to ClaraMed per month *

Does your organisation have an existing second opinion program or partnership? *

Yes — formal partnership with a named US or European institution

Yes — informal arrangements with individual physicians abroad

Yes — we use an existing online second opinion platform

No — we do not currently have a formal second opinion program

If yes, which institution or platform? Optional — helps us understand the landscape

Decision-making timeline — how soon could a partnership be formalised? *

Who else is involved in this decision at your organisation? Optional — helps us prepare for the right conversation

Section 4 of 5

Operations & integration

How cases would flow between your organisation and ClaraMed — patient records, communication, billing, and any technical or compliance requirements.

How do you envision patient records being shared with ClaraMed? *

Patient uploads directly via ClaraMed's HIPAA-compliant secure portal Simplest — patient takes responsibility for record submission

Academic validation

ClaraMed's model is independently validated by peer-reviewed research presented at the 31st International HPH Conference 2026, Slagthuset, Malmö, Sweden (May 20–22, 2026) — the leading international forum on health-promoting hospitals and health services.

Our staff compiles and submits records on the patient's behalf Full service — we coordinate record submission for the patient

Secure electronic transfer between our systems and ClaraMed Integration — requires technical setup; suitable for high-volume partners

Open to discussing the best approach for our organisation

What EHR or patient management system does your organisation use? Optional — helps us plan any future integration

Primary language(s) of patient medical records at your organisation * Select all that apply

English

Arabic

Hindi / South Asian languages

Mandarin / Chinese

Portuguese

Spanish

French

Other / mixed languages

How would billing and payment be handled? *

Patient pays ClaraMed directly — your organisation receives a referral fee per case

Patient pays your organisation — your organisation settles with ClaraMed monthly

Insurance pays ClaraMed directly — with your organisation facilitating the claim

Open to discussion — we are flexible on billing structure

Are there any regulatory, legal, or compliance requirements in your country that would affect a partnership? *

Yes — there are local requirements I need to flag

Possibly — I would like ClaraMed's team to help us assess this

No — no known regulatory barriers to the partnership model

If yes, please describe the compliance requirements Optional

Does your organisation have data privacy or patient consent frameworks we should be aware of? Optional

Additional context

How did you hear about ClaraMed? *

Is there a specific person at ClaraMed you have already spoken with? Optional

Please describe what an ideal ClaraMed partnership would look like for your organisation and your patients *

Any questions, concerns, or other information you would like us to know before our conversation? Optional

By submitting this form you confirm that the information provided is accurate. ClaraMed will treat all information as strictly confidential. Submission does not constitute a binding commitment on either party.

Section 5 of 5

Review & submit

Please review your responses. Our team will personally review your inquiry and contact you within 2 business days to schedule a partnership discussion.

What happens next: Our team will personally review your inquiry and contact your primary contact within 2 business days. We will then schedule a 30-minute partnership discussion to explore how ClaraMed can best serve your patient population.

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Inquiry received

Thank you for your interest in partnering with ClaraMed. Our team will personally review your inquiry and contact within 2 business days to schedule a partnership discussion.

Your inquiry reference number — please save this

Urgent? Contact Naray directly at partners@claramed.us

ClaraMed charity partners Direct Relief (Global · 100/100 Charity Navigator), Partners in Health (Global · Harvard-affiliated), UNICEF (Global · 190+ countries), Aga Khan Foundation (Gulf · South Asia · East Africa), Islamic Relief Worldwide (Gulf · South Asia · Africa), and Doctors Without Borders (Global · Nobel Peace Prize).

Languages supported — where available or in English Arabic · Hindi · Tamil · Telugu · Malayalam · Kannada · Filipino / Tagalog · Mandarin · Spanish · Portuguese · English All opinions delivered in preferred language where available, or in English with a translated summary on request.

Custom pricing: For highly complex, rare, or multi-specialty cases, ClaraMed offers custom case pricing. Contact info@claramed.us directly to discuss.