MyLVHN -

Receiving a cancer diagnosis is one of the most difficult moments in someone's life, and we know you want to make an informed decision. At Lehigh Valley Topper Cancer Institute, you have access to the latest cancer treatments, clinical trials, and support services. Also, Lehigh Valley Topper Cancer Institute is a member of the Memorial Sloan Kettering Cancer Alliance, which provides patients with even more lifesaving care options and access to more advanced clinical trials.

We'll meet with you to:

Confirm a diagnosis
Explore all treatment options, including treatments or procedures that may not be widely available
Discuss what treatment or care plan is the best fit for you
Ensure you're confident in the approach and expertise of your care team

After completing the form below, a team member will call you to setup an appointment with one of our specialists.

Your Contact Information

First Name:

Last Name:

Date of Birth:

Phone:

Address:

City:

State:

Zip Code:

Email Address:

Second Opinion Questionnaire

As a reminder, second opinion appointments are only for those who are not current patients of these practices. If you are a current patient and you have any questions about your care, including your diagnosis or treatment option, your care team will be happy to discuss them with you.

Which healthcare organization did you receive your diagnosis from?

If other, please specify:

Are you already a patient of LVH/LVPG Hematology, Surgical or Gynecologic Oncology?

Yes

What is your diagnosis or concern?

Is there a specific question you have about your diagnosis?

Request a Second Opinion Appointment - Oncology