Remote Second Opinion Service

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UC San Diego Health physicians and surgeons are pleased to partner with physicians abroad to help confirm a diagnosis and treatment plan, or recommend additional treatment options.

Our Second Opinion Medical Consultation (SOMC) Program is an excellent option for physicians who want to offer their patients all possible options for care. The SOMC program is designed to be an extension of your practice. UC San Diego Health physicians and surgeons will work with you to review your patient's medical history and diagnostic records, and help to give your patients confidence in your recommended course of treatment. We work directly with physicians because we recognize that only you are uniquely qualified to interpret our medical opinion and devise a treatment plan best suited to your patient’s condition.

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Step 1: Download and Complete Second Opinion Forms

For the Letter of Agreement, please replace the highlighted field with the patient information and have an authorized representative (either the patient or an individual or family member on behalf of the patient) sign and date the form, and submit along with the credit card form, informed consent form and the patient’s medical files for review.

Step 2: Gather and Submit Medical Records and X-rays

  • Diagnostic Radiology – All radiological images and corresponding reports are needed for the consultation and should be included with the SOMC packet.
  • Diagnostic Pathology – If the patient would like to have his or her specimen reviewed by a UC San Diego expert pathologist, the SOMC Program offers this service for an additional fee, dependent on the type of slide (stained or unstained).

Due to United States Customs regulations, please write the following on the pathology slide/block commercial invoice: “Slides and/or paraffin blocks (and corresponding pathology reports) of non-infectious and non-contagious human tissue taken from the ____________ (name of organ or tissue) which are fixed and/or preserved in paraffin. This specimen has never been cultured. It is for review by the Department of Pathology at the University of California, San Diego. The value is US$1.00.” This will help to avoid processing delays at Customs.

Step 3: Submit Materials to UC San Diego Health

Please send the completed SOMC packet and medical records via fax, international courier or email to:

Attn: Medical Manager, re:SOMC
UC San Diego Health 
International Patient Program 
136 Dickinson Street, Suite 108 
San Diego, CA 92103-8222
Fax: 619-543-5282

Or, email to:

It is imperative that all documents included are accurate and current, as the second opinion consultation is based on this information. Once the packet is approved by the SOMC office, the second opinion process will begin.

Step 4: Patient Case is Reviewed by UC San Diego Health Physician or Surgeon

  • When UC San Diego Health receives the patient materials, we will first do a thorough check of all documentation to make sure it is complete, as the process cannot begin if information is insufficient or missing.
  • Referring physicians will receive regular updates on the progress of the second opinion consultation, generally during our regular office hours, via your preferred form of communication (email, fax, teleconference, etc.). Once we begin the review, further charges will be applied if additional medical records are sent and/or questions are submitted.
  • After a UC San Diego Health physician or surgeon completes the second opinion medical consultation, the patient’s case will either be closed or, if requested, it will be transferred for follow-up treatment. If requested by the referring physician or the patient, an in-person consultation can be scheduled with a UC San Diego Health physician. Please contact UC San Diego Health International Services to inquire about this option.
  • Please note: documents and records submitted for the second opinion medical consultation will not be returned, unless requested by the patient. After six months of inactivity, medical records will be appropriately discarded.

International Patient Services
200 West Arbor Drive
San Diego, CA 92103-8222