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.

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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
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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