Online Technical Support


Since this form is not viewed by physicians or clinical staff, we ask that you fill out the form below with non-medical/non-sensitive health information questions or comments pertaining only to the Online Medical Second Opinion Service.

If you are experiencing a medical emergency, please call 911 or go to the nearest emergency room to seek medical attention.

 
Please select an option that closely matches your reason to send this request. This helps us to better assist you with your issues.*
Option 1: My question is medical related and concerns my online medical second opinion request.
  • Not sure what condition to choose/not listed?
  • Question about records collection?
  • Question about medical questionnaires?
Option 2: My question is technical related and concerns the MyConsult website.
  • Password reset
  • Username reset
  • General site navigation questions
Name:*
 
Subject:*
 
Questions or Comments:*
 
Phone Number:*
 
Email Address:*
 
* = Required Field
 

If you would like to request an in-person appointment at Cleveland Clinic, please call toll free at 1.866.320.4573.

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