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Pediatric Pulmonology Division
10833 Le Conte Avenue, 22-387 MDCC
Los Angeles, CA 90095
Phone: (310) 267-0606 Fax: (310) 794-7338
Appointment: (310) 825-0867 Page Operator: (310) 825- 6301
SURVEY DIRECTIONS
To plan for your child's appointment, please print out and answer the survey questions.
- If you are new to UCLA or you are seeing a new pulmonary doctor, then complete the New Patient survey (Spanish version) Email Consent (Spanish version) and the Contact Sheet.
- If you are seeing Dr. Okelo for at least the 2nd time, then answer the Established Patient survey (Spanish version) and the Contact Sheet.
- Return the completed form to your doctor at the time of your appointment.
- Your answers will help the physician quickly understand your child's problem
- Answering the survey will make more time available to focus on the main issues and to answer your questions.
- The questions are meant simply as an overview.
- The doctor will probably ask you to elaborate on several of the issues
- Please to tell your doctor anything else you wish to inform him/her about your child's case.
- If you have any questions, please feel free to call (310) 267-0606.
- If you need to change the appointment, please call the Pediatric Appointment
- Center at (310) 825-0867 or Geoff, Pediatric Pulmonary Administrative Assistant at (310) 825-5930.
Sincerely,
Elaine Harrington, RN, BSN, AE-C
Department of Pediatrics
Division of Pulmonology
Mattel Children's Hospital - UCLA
