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An expert written opinion from a leading Dana-Farber medical oncologist may include:

  • An evaluation of a previous diagnosis

  • An evaluation of a current or recommended therapy or treatment plan

  • A review of alternate therapies and treatment options

  • An evaluation of medical management recommendations

Please note: This is not an emergency service. Do not rely on electronic communications for help with medical emergencies. If you have a medical emergency, please call your local emergency service or go to your nearest hospital or urgent-care center.

Frequently Asked Questions

What is Medical Oncology?

Our Dana-Farber medical oncologists specialize in cancer and oversee chemotherapy, targeted therapies, and other medical treatments.

How do I start the process of getting an online second opinion?

Grand Rounds facilitates the online second opinion process. You can call Grand Rounds between 9:00 am-9:00 pm EST at 1-800-941-9309 if you are located in the United States, or +1-775-440-2559 if you are located outside the United States; a member of the Grand Rounds care team will guide you through the process of starting a second opinion through the phone. Alternatively, you can start a second opinion online through our website at any time. To begin, please create an account using the sign up form on the right.

How much does an online second opinion cost?

The cost for most second opinions is $2,000. This fee includes medical record collection, a written second opinion from a Dana-Farber Cancer Institute medical oncologist, and guidance throughout the process from your personal care team at Grand Rounds (comprising a Staff Physician, Care Coordinator, and Record Specialist). In rare cases, the complexity of the case will also require an opinion from other doctors including radiologists and pathologists. In these cases, an additional fee may be charged and you will be contacted to approve the payment.

Will my insurance cover it?

Currently, most health plans do not cover online second opinions or consultations, so patients are responsible for the cost of the second opinion. Dana-Farber Cancer Institute cannot file a claim with your insurance carrier, nor can we provide a procedure (CPT) code for this service. If you have questions regarding this process, please call Grand Rounds at 1-800-941-9309 if you are located in the United States, or +1-775-440-2559 if you are located outside the United States.

How long will it take?

Typically, it takes 5 to 7 business days after your records have been received to get your written online second opinion. The overall timeline can vary, depending on how long it takes to get your medical records and assign a medical oncology specialist who is best suited to review your case.

Do I need to send my medical records?

If you reside or have resided outside of the United States, yes. If all of your care has taken place within the United States, you'll only need to provide the names and locations of physicians who have seen you previously; our Care Team will then collect your records. If you live in the United States and already have all of your medical records on hand, you can send them directly to the Grand Rounds Care Team for an expedited timeline.

What if my medical records are in a language other than English?

Unfortunately, we are not able to process requests that are not in English. All documents pertaining to your online second opinion must be translated into English before being submitted to Grand Rounds.

Who chooses the physician who will provide my second opinion?

The Grand Rounds Care Coordinator will carefully review your second opinion request and will match you with a Dana-Farber medical oncologist to handle your case. You may request a particular oncologist, and we will try to accommodate that request, but we cannot guarantee that specialist will be available and assigned to your case.

What if I would rather visit Dana-Farber for an in-person appointment?

You can request an in-person appointment by filling out this online form or calling 1-877-442-3324.

Is this service available to anyone?

For the most part, yes. However, we cannot offer online second opinions to a small number of patients living in certain excluded states and countries, due to regulatory constraints. If you live in one of these areas, you can still request an in-person second opinion by filling out this online form or calling 1-877-442-3324.

Is my medical and payment information secure?

Dana-Farber and Grand Rounds are strongly committed to protecting the privacy and security of all our patients. The Grand Rounds online portal meets all federal requirements for protecting personal health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). In addition, Grand Rounds does not store any credit card information in their system. All financial transactions are securely processed by Grand Rounds using industry-standard payment processing tools.

Can I schedule a follow-up appointment with the specialist who provided my online second opinion?

In most cases, yes. After you and your local doctor receive the second opinion, a Grand Rounds Staff Physician or Care Coordinator will contact you to answer any questions and discuss next steps. We encourage you to discuss your second opinion with your local provider. If you would like to schedule an in-person appointment at Dana-Farber Cancer Institute, please alert your Grand Rounds physician at that time. Please note: the cost of your online second opinion cannot be applied to the bill for an in-person visit. Any in-person appointment or pathology review may be covered by your insurance, or you may be financially responsible. It may be possible to schedule an appointment with the specialist who provided your online second opinion, and may require additional appointments with other Dana-Farber specialty providers.

If I have an in-person appointment, can my medical records from the online second opinion be transferred to Dana-Farber scheduling staff?

Yes, but additional materials, including pathology slides, medical records, and imaging, may need to be collected. The scheduling staff will discuss this process with you. You may need to help collect these materials.

What is the affiliation between Grand Rounds and Dana-Farber?

Dana-Farber partners with Grand Rounds to offer online second opinions from our specialists in virtually every medical oncology specialty and subspecialty. The Grand Rounds care team gathers and summarizes your medical records, images, and history. A Dana-Farber medical oncology specialist individually selected because of expertise related to your case – reviews your medical records, images, and history, and provides a written second opinion.

Requesting a remote second opinion for your child? Click here to create an account through Dana-Farber/Boston Children's.