International Remote Second Opinion Program

Father and Mother with child looking at laptop
The International Remote Second Opinion Program (RSO) provides families with access to leading pediatric specialists at Children’s National Hospital, so they can be informed of their options prior to deciding on their child’s care – without ever having to travel outside of their home country.

For each RSO, the appropriate physician reviews the patient’s medical information, including any radiology and pathology reports, and compiles their findings into a comprehensive written report that is shared directly with the patient and their family.

How the International Remote Second Opinion Program Works

The RSO fee starts at US $1,000, and it can increase based on the number of specialties and if a video consultation is requested. If diagnosis involves a pathology reading, a Children’s National pathologist will review the submitted slides, and additional fees can occur.

Our program offers:

  • Direct access to the program's designated clinical intake team to assist you through the process
  • Online submission of clinical information and radiologic films
  • Medical review by pediatric specialists
  • Comprehensive written medical second opinion reports
  • Video conferences between Children’s National specialists and home referring physicians to discuss RSOs*
  • Post-opinion follow-up and assistance with referrals

*Additional video conferencing offered as necessary and at an additional fee.

Our 3-Step Remote Second Opinion Process

The following information provides an overview of our easy 3-step process to refer a child to Children’s National Hospital:
  • Step 1: Referring a Patient

    Submit the patient’s demographic and clinical information on the International Patient Access Form. To successfully complete the form, have the following information available:

    • Patient's demographic information 
    • Medical records in English: We cannot accept medical records in other languages at this time.

    Once the general demographic information is submitted, you will be directed you to a secure page to upload medical reports in English. If you have imaging to share, our team will provide a link for transfer following the initial review.

  • Step 2: Assigning an Expert

    The Global Services team will review the records and connect with the appropriate specialty team to assign an expert to render the opinion. Additional information will be requested as needed to provide valuable feedback.
  • Step 3: Review of Medical Information

    The Global Services team will provide the written report via email within 7-10 business days upon receipt of the required documentation and the RSO fee. If requested, we can schedule a provider-to- provider video consultation between the Children’s National physician and the home referring physician. 

Contact the Global Services Team

We're here to support families on their international care journey. We have been caring for international patients and their families for more than 20 years and will serve as your dedicated partner.

For more information about the International Remote Second Opinion Program, contact us at +1-202-476-5778 or by email at

Learn more about our Remote Second Opinion Program (PDF)