Referring Providers

Find your care

Our Head and Neck Cancer Program helps you start on the road to recovery. For more information, connect with a cancer care specialist at 310-774-6275​​​​​​​.

How to Refer a Patient

  1. Patient accessibility: Patient Coordinator
    • Patient single point of contact
    • Care needs, resources, questions – eliminates the need for phone calls to multiple offices etc.
    • Phone line: (310) 267-7076
    Referring a Patient
  2. Contact the UCLA Head and Neck Cancer Program as soon as possible to schedule an appointment. All appointments are on Wednesdays.
  3. Send medical records: All relevant medical records must be received at least 5-7 days prior to the appointment date. Records should include:
    • Patient’s Name, MRN, DOB, Insurance Information, Copy of Insurance Card, Contact Information (including Family, Friend, Caretaker), Special Instructions, Radiographic Images (X-Ray, CT, MRI, Ultrasound), Pathology Reports (Slides, Blocks), Surgical Reports, Office Visit Note/s (previous and current).