American Family Children's Hospital
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Request a second opinion

Heart and Vascular Second Opinion Request

Contact Us By Phone

(608) 263-7092 or (800) 438-3102

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 member of our UW Health Heart and Vascular Care team will contact you to conduct an initial, informal interview.

 

Please do not submit urgent questions about your medical care through this website. If you are experiencing a life- or limb-threatening emergency, call 911. If your need is urgent, call your clinic for assistance.

 

Request a Heart and Vascular Care Second Opinion

 

* = 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)
 
Why are you seeking a second opinion?