Skip to Content
UW Health SMPH
Join Our UW Health Community

Heart and Vascular Care

Heart and Vascular Second Opinion Request

Contact Information
 
If you would prefer not to submit your request online, you may also call (608) 263-7092 or (800) 438-3102 to speak with a senior nurse clinician and set up an appointment.
 
Related Resources
 
UW Health's Heart and Vascular Care Second Opinion Program is designed to help patients find appropriate medical or surgical therapy for their unique situations.
 
After you submit the following form, a senior nurse clinician will contact you to conduct an initial, informal interview. An appointment is then made within 48 hours. The nurse also works with the patient to obtain the release of any necessary medical records, X-ray films or MRI results the physician would need to render the second opinion.
 
If you would prefer not to submit your request online, you may also call (608) 263-7092 or (800) 438-3102 to speak with a senior nurse clinician and set up an appointment.
 
* = Required field 

First Name *
 
Last Name *
 
Phone Number *
(Please include area code)
Home  Work  Cell
 
Best Time to Call:
(Please specify the best time of day/day of the week, etc.)
 
e-mail Address
 
Mailing Address
(Please include street address or P.O. Box, city, state and Zip code)