The Service

The IEO Second Opinion service was created with the aim of providing a remote consultation to patients who want to have a second opinion on their treatment or diagnosis. Based on the clinical documentation sent by the patient, the multidisciplinary team dedicated to the IEO Second Opinion service will perform a complete evaluation of the clinical case to recommend, possibly, the best alternative of care to the patient.

Which consultation can be requested?

The IEO Second Opinion service offers the following types of advice:

• Surgical
• Oncological
• Cardio- oncological
• Radiotherapy

Why IEO Second Opinion?

• The European Institute of Oncology has more than 20 years of experience in the prevention, diagnosis, treatment and care of cancer. 

• IEO offers the best clinical practices available in cancer prevention and treatment.

• We offer a unique personalised service designed to ensure that your requests will be handled by a dedicated team.

• We assure you a response within 5 working days of your request, after receiving the complete clinical documentation. 

• Our physicians will work closely with you to provide tailored recommendations based on a multidisciplinary approach, by defining treatment plans and other options for each and every case individually

STEP 1 - Documentation collection

CLINICAL DOCUMENTATION

Prepare all the clinical documentation, officially translated into English or Italian, describing the history of treatments performed from the onset of the disease to the current state of health.  The Second Opinion Service is based on the information sent, so it is essential that the documents are accurate and updated as much as possible.

The following documents are required for a proper assessment:

• A recent report from the referring oncologist (dated no more than 30 days prior to the date the documentation is submitted).
  Important: The referring doctor’s report must contain all the clinical information necessary to provide an appropriate opinion: diagnosis and stage of the disease, non-oncological medical history, detailed oncological medical history, chronology of treatments carried out (including dosages of oncological therapies administered), current treatments, home medication, active problems and the clinical query for the IEO Second Opinion Service. 
• Available histopathological reports (molecular biology reports if available); 
• Radiological reports;

Please note: it is not necessary to send copies of blood test results (unless explicitly requested by the IEO doctor).

Should further documents be required, the IEO Second Opinion Office will request that they be sent.

ADMINISTRATIVE DOCUMENTATION

In addition to the clinical documentation listed in the previous paragraph, to request the IEO Second Opinion Service, you must download and complete the following forms:

• General Information;
• Service Request Form: 
  • It is necessary  filling in the "Main Contact" field only if the service applicant is a different person from the patient. In this case the following documents are required:

• An identity document (ID or Passport) of the person requesting the Service on the patient's behalf

• A document proving the relationship with the patient if the applicant is: 
  • Holder of the documentation, adult or minor;
  • Parent of child with parental authority (family); 
  • Entity/individual acting as ward (providing proof)

• Patient Disclaimer;
• Authorization for Communication and Medical Report Delivery;
• Medical History Questionnaire;
• Confidentiality and Data Protection.

STEP 2 - Request submitting

Once all the clinical and administrative documentation referred to in the preceding paragraphs has been prepared, all documents must be sent to the following email address: second.opinion@ieo.it

We kindly ask you to send a single email with the following details:

• Subject line: Patient’s first name, surname and date of birth;
•  Attachments:
  • Clinical documentation
  • Administrative documentation

To ensure the documents you send are correctly identified, please send the attachments in PDF format and name them appropriately, using keywords that describe their content. 
Here are some examples:

• Histological examination report: "Histological Report"
• Histological examination: "Histological examination"
• CT Scan Report: "CT Scan Report"
• Referring Doctor's Report: "Medical Report"

In the case of reports from your own treating oncologist, we also recommend sending the document (in PDF format) typed on a computer so that it can be read immediately by the IEO doctors who will be responsible for the patient’s second opinion.

STEP 3 - SERVICE PAYMENT

Once the clinical documentation has been reviewed by the IEO triage doctors, the patient or the person requesting the service will receive confirmation within two working days from the email address second.opinion@ieo.it that the documents submitted are complete and correct. The patient can, now, proceed with the service payment following the instruction included in the email received. 

STEP 4 - SERVICE MEDICAL REPORT

Upon receipt of the payment, the request of IEO Second Opinion will be entrusted to the specialist who will release the medical report within 5 working days.

Important: for further questions following the submission of the report, it is necessary to request an additional IEO Second Opinion.  

IEO Second Opinion Service

The cost of the IEO Second Opinion is € 500.00.
Should the doctor assigned to your IEO Second Opinion deem it necessary, further in-depth consultations may be required; the costs of these are listed below.
In such cases, you will be contacted for your approval before proceeding.

• Slide review – additional cost: € 232.00
• Consultation to assess diagnostic images – additional cost: € 189.00
• In-depth consultation – additional cost: € 200.00
• Multidisciplinary consultation – additional cost: € 350.00

IEO Second Opinion Update

If the patient has previously used the IEO Second Opinion service, he/she may request an update to the consultation by sending the updated clinical documentation to second.opinion@ieo.it. 

If the clinical opinion falls within the exclusive remit of the same doctor who issued the report for the first IEO Second Opinion, the request for an update will be accepted at a cost of € 350.00, provided it is made within 12 months of the previous opinion being requested.

If, however, the case is assigned to another doctor, the cost of the IEO Second Opinion service will be € 500.00. 

 
NOTE: The report of your IEO Second Opinion will be sent by courier only upon the patient’s explicit request. In this case, an additional charge of € 18.00 will be applied.

Contact Us

The IEO Second Opinion is designed to ensure that a dedicated team handles your request. By filling out the contact form below, the IEO Second Opinion staff will be glad to provide you with all the information and support you need.

Frequently Asked Questions

•  When do I need to make th transfer of 500€?  

After sending the clinical and administrative documentation (by email or courier), the staff of the IEO Second Opinion service will contact you to provide the bank details in order to pay for the service.

• What kind of clinical documentation send?

It is essential that the documentation is accurate and complete  

The following documents are required for a proper assessment:

• A recent report from the referring oncologist (dated no more than 30 days prior to the date the documentation is submitted).
  Important: The referring doctor’s report must contain all the clinical information necessary to provide an appropriate opinion: diagnosis and stage of the disease, non-oncological medical history, detailed oncological medical history, chronology of treatments carried out (including dosages of oncological therapies administered), current treatments, home medication, active problems and the clinical query for the IEO Second Opinion Service. 
• Available histopathological reports (molecular biology reports if available); 
• Radiological reports;

Please note: it is not necessary to send copies of blood test results (unless explicitly requested by the IEO doctor).

Should further documents be required, the IEO Second Opinion Office will request that they be sent.

• What types of Second Opinion Consultations can be requested?

It is possible to request a surgical, oncological cardio-oncological and radiotherapy consultation, indicating the type of consultation required in the IEO Second Opinion Request form

• What is meant by "revision of diagnosis/histological review"?

The revision of the diagnosis is a "histological review", that is the re-reading of the slides of one or more histological samples at the Pathological Anatomy of our Institute. This is a paid service that is requested by the doctor who has been entrusted with the advice of IEO Second Opinion. The request for a revision of the diagnosis is not to be confused with the request for indications on medical treatment, relating to the clinical process according to the pathology and the current clinical --indications of the patient to the current pathology and clinical condition of the patient.

• Following the IEO Second Opinion service, how can you access treatment at IEO?

Following a IEO Second Opinion consultation and the proposal of medical treatment, the patient can be inserted into the IEO treatment path. The staff of the IEO Second Opinion will forward the patient’s request to the secretariat of the IEO doctor who issued the consultation.

• When the patient can talk to IEO staff?

In case of need, the IEO Second Opinion staff will contact the patient by phone or e-mail at the addresses provided in the forms.