Request a second medical opinion in the public healthcare of your CCAA

What you need to have to hand

1. Cl@ve PIN o Permanente (or FNMT digital certificate) to access the sede of your CCAA.
2. Tarjeta sanitaria and your personal details clearly.
3. Complete medical reports in PDF: diagnosis, tests, images if applicable (resonancias, TAC on CD don't work online), and epicrisis.
4. Details of the hospital and service that treated you.
5. If you act for someone else: authorisation and representation in Apodera.

Documentation

• DNI/NIE of the applicant (and of the patient if different).
• Tarjeta Sanitaria Individual (TSI/CIP) of the CCAA.
• Autonomous form for second opinion (if it exists), completed and signed.
• Recent and complete medical reports (app summaries without a signature/validation usually aren't enough).
• Authorisation and representation for minors or dependents (Apodera or power of attorney).
• Contact details (mobile and email) for notifications.

Step by step

1. Find the procedure on the sede or health portal of your CCAA (section “Segunda opinión médica”). Log in with Cl@ve.
2. Fill in the application: condition, date of diagnosis, centre/service and reason. Attach legible PDFs (scan at 150–200 dpi, black & white if size is an issue).
3. Representation: if you file for someone else, set up the apoderamiento in Apodera: https://apodera.redsara.es/apodera/
4. Submit and download the justificante de registro (PDF/CSV). Without that receipt you're vulnerable if anything goes wrong.
5. Watch notifications in Carpeta Ciudadana: https://carpetaciudadana.gob.es. If they ask you to correct something, reply within 10 working days.
6. Wait for assignment of the specialist/centre and the resolution. They will tell you how and when the assessment will happen.
7. Plan B if there's no online procedure: use the Registro Electrónico Común (REC) and address your letter to the Servicio de Salud of your CCAA: https://rec.redsara.es/registro/action/are/acceso.do. Attach reports and state clearly you are requesting a “segunda opinión médica”.

Tricks that save time

1. One PDF per block: combine reports in chronological order. Fewer clicks, fewer errors.
2. Compress before uploading. Aim for <10 MB per file. If the portal crashes, split by year or by test type.
3. Ask the hospital for a clinically signed electronic report. It's worth a lot more than screenshots of the app.
4. Keep it short in the reason: 4–5 clear lines. State the diagnosis, the specific doubt and what you want to contrast.
5. Save everything: receipt, acknowledgement and emails. If there's silence or a mess, they'll save you.

Common mistakes that can ruin the process

1. Uploading unsigned summaries or incomplete reports. They will reject it or ask you to correct it.
2. Missing the correction deadline. Ten working days fly by; if you don't respond they'll archive the file.
3. Requesting it for minor conditions. If it's not in your CCAA's criteria, they'll tell you no.
4. Thinking they'll move you hospitals automatically. It's an opinion, not a transfer.
5. Not having representation if you act for someone else. Without Apodera or a power of attorney they won't even look at it.