Request a second opinionGet an independent perspective on recovery and reintegration.1Who are you2Request for Second Opinion3Organisation details4Your details5Employee details6Other detailsWhat is your role* I am an employee I am an employer I am a company doctor I am a solicitor/courtUnfortunately, because you are an employee, you cannot submit a request directly to us. If you wish to proceed, you can forward the request to your company doctor. Your company doctor can then initiate a process with us. You will receive a copy of the request that is sent to your primary company doctor. Please note: A company doctor is obliged to honour the request for a second opinion. More information Arboportaal.nl / Ministry of Social Affairs and EmploymentYou are an employer and disagree with or have doubts about the advice given by your company doctor. Or you disagree with how the UWV is treating your employee. And for that reason, you want to request a second opinion. We call this a second opinion because the term “second opinion company doctor examination” is reserved for a similar request made by the employee to the primary company doctor. The report to the employer will be stripped of any form of medical information or privacy-sensitive data. The report focuses on the employee’s work capacity. No medical report will be sent to the primary company doctor. The employee cannot now exercise their right to block this work capacity advice.You are a company doctor and are requesting a Second Opinion. We also need your details to register and process your request. The reason why a quote and order confirmation are necessary click here.You are a lawyer or work at the court and are applying for a judicial expert examination/second opinion/medical representative. We also need your details to register and process your application.Your name* First name Last name Employed by company*Your E-mail* Name of company doctor* First name Last name E-mail company doctor / occupational health department* Comment(s)This comment is included in the request to the company doctor.Is there a need for telephone contact? YesConsent By using this form, you agree to our Privacy Policy and to the storage and processing of your data by this website.Company name*Address* Street + house number City Postal code Contact person*E-mail* Phone*Is there a need for telephone contact? YesYour Name (doctor/court)* First name Last name Phone*E-mail*Your personal e-mail address for direct communication and any (medical) reports Name on quotation: Company nameName on quotation: Address Street + house number City Postal code Is there a need for telephone contact? YesCompany nameInitials*GenderManVrouwName (client)* First name Last name Address Street + hous number City Postal code Phone*Mobile phoneDate of birth FunctionE-mail* First day of illness Explanation of case studyConsent I agree to the privacy policy.