Peter O'Donnell Jr. Brain Institute

Second Opinion

Imaging of spine

UT Southwestern's Peter O'Donnell Jr. Brain Institute offers a secure, online method for patients with a spine or neurosurgical diagnosis to receive a second opinion from our world-class physicians.

At this time, we are only offering this service to Texas residents. However, if you reside out of state, we encourage you to call 214-645-2300 in order to set up an appointment with a provider here at UT Southwestern. 

Our physicians can provide a second opinion for the following diagnoses:

  • Aneurysm/Arteriovenous Malformation (AVM)/Cerebrovascular Conditions
  • Atherosclerotic Carotid Disease 
  • Brain/Spine Tumor
  • Surgical Treatment of Epilepsy
  • Spine Disorders
  • Other Neurosurgical Conditions

After reviewing your medical records and diagnostic tests, a UT Southwestern doctor will provide you with a written recommendation by email regarding your treatment plans or options within 7-10 business days.

The cost of a second opinion is $400 payable by credit card.

How to Request a Remote Second Opinion

Imaging and Records

Before starting your request, gather any relevant imaging CDs and medical records. Next, review our Terms and Conditions. You will be asked to confirm your agreement later in the process.

Terms and Conditions



Please review our frequently asked questions at the bottom of the page. If you have further questions, you can email our Remote Second Opinion coordinator.

Start your request

If you have read our Terms and Conditions and have your records ready to upload, you can begin your Remote Second Opinion request. You will need a credit card to make payment.

Make Second Opinion request

Frequently Asked Questions

What is a remote second opinion?

A remote second opinion from UT Southwestern's Peter O'Donnell Jr. Brain Institute provides you with an opportunity to learn more about your diagnosis. Our physicians will provide you with additional information as well as possible alternative treatment options for you and your local health care provider to consider. A second opinion is not a substitute for in-person care and no physician-patient relationship is intended or created by this program. 

When is a remote second opinion appropriate?

A remote second opinion can be an important informational and educational tool following any complicated diagnosis or treatment recommendation. One of our physicians will review the diagnosis and treatment recommendation you’ve received along with your relevant medical records, including imaging, to provide you with expert information and education. In many cases, a second opinion will simply provide you with more information about your condition and peace of mind, but sometimes a second opinion provides information on other possible tests or treatments to consider.

Can anyone request a second opinion from UT Southwestern for any diagnosis?

At this time, UT Southwestern's remote second opinion program is available online for individuals who meet the following criteria:

  • Have a spine or neurosurgical diagnosis 
  • Reside in Texas
  • At least 18 years of age

PLEASE NOTE: If we determine that you do not meet our criteria for a remote second opinion, UT Southwestern reserves the right to decline the request. Any payment made in advance will be refunded.

If you are interested in an in-person second opinion, please contact 214-645-8300 to make an appointment with one of our providers.

How long will it take to receive my second opinion?

Once our team has confirmed receipt of all participant paperwork - signed terms and conditions, medical records, images, and payment, your second opinion information will be available within 7-10 business days.

Do I need my doctor's permission to seek a second opinion?

No, as long as you reside in Texas and have a neurosurgery or spine diagnosis, you do not need permission or a signed form from your current doctor.

How do I send my imaging records to UT Southwestern?

When you fill out the form for a second opinion request, we will email you a pre-paid shipping label. Please print out the label and attach it to a padded envelope with your imaging CD(s) inside.

What if I want to see a UT Southwestern doctor in person?

Please call 214-645-2391 to schedule an appointment with one of our doctors.

Is your Remote Second Opinion website secure?

Yes, our website is HIPAA and PCI compliant.  

Will my insurance cover the cost of a second opinion from UT Southwestern?

In most cases, insurance will not cover the cost but you will receive a receipt for the $400 payment and can file a claim with your health insurance provider.

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