Thank You – Prostate Cancer Second Opinion Request

An email confirmation has been sent to the address provided. Please follow the link included in that email to submit clinical trial details.

Before beginning the second opinion request, please collect the following information to assist you in completing the form in a timely manner. If you do not have all of the information, please enter what you know and we’ll contact you if we need additional information.

  • Most recent lab report
    • Date of biopsy
    • PSA value
    • Gleason score
    • Number of biopsies taken
    • Percent involvement of each biopsy
    • Prostate size
    • Date
  • Abnormalities noted during the digital rectum exam
  • The form also asks questions about patient sexual and urinary health

Interested in learning more about prostate cancer?

Visit our health library for Prostate Cancer or Prostate Cancer Treatment information.

Connect with us online