Step 1
Initial Contact: An assistant from IEO Second Opinion will be happy to assist you personally and give you a more detailed explanation of our service.
Step 2
Complete the forms and attach the required documents:
You will be requested to download and complete the following forms:

General Information
Service Request Form
Patient Disclaimer
Authorization for the release of the IEO Second Opinion
Medical History Questionnaire
Confidentiality and Data Protection
The following documents are required to complete your request:
- An identity document (ID or Passport) of the patient
- Clinical records in English or in Italian as described in the form. The IEO Second Opinion consultation will be based on the information sent, so it is essential that the documents are accurate and as up-to-date as possible.
- A cover letter from your doctor is a requirement. The letter must contain the following information: diagnosis, stage, non-oncological history, detailed oncological history, therapies in progress, home medication, active problems and clinical questions.
If the applicant is NOT the patient:
- An identity document (ID or Passport) of the person requesting the IEO Second Opinion on behalf of the patient
- Proof of the authority of the authorised person to act on behalf of the patient as:
- Holder of the documentation, adult or minor
- Parent of child with parental authority (family)
- Entity/individual acting as ward (providing proof)
Step 3
You can pay for your IEO Second Opinion by Bank transfer using the following bank details:
Banca: Unicredit Corporate Banking
IBAN: IT04Q0200809432000500057120
BIC/SWIF Code: UNCRITMMOMI
A: Istituto Europeo di Oncologia S.r.l.
Via G. Ripamonti 435
20141 Milano
Reason: Name of the patient/ IEO Second Opinion
Step 4
Submit your request by e-Mail
Important: If we receive additional medical records and/or questions after the physician has concluded the IEO second opinion, a new IEO second opinion must be required.