• UCLA Health
  • myUCLAhealth
  • School of Medicine
UCLA Vatche & Tamar Manoukian Division of Digestive Diseases

UCLA Vatche & Tamar Manoukian Division of Digestive Diseases

UCLA Vatche & Tamar Manoukian Division of Digestive Diseases
  • About Us
    • Message from the Chiefs
    • Ambassadors
    • Leaders of Tomorrow
    • Administration
    • Organizational Chart
    • Our Locations
    • Make a Gift
    • In the News
    • Our Newsletters
    • Faculty Mentor Program
  • For Patients and Visitors
    • Scheduling an Appointment
    • Our Locations
    • Find a Physician
    • Conditions Treated
    • Health Plans Accepted
    • Frequently Asked Questions
    • Overnight Accommodations
    • Nutrition Program
    • Community Education, Events and Videos
    • Clinical Trials and Studies
    • Real Questions Videos
    • Video Gallery
    • Interactive Procedure Videos
    • Colon Cancer Screening
    • Webinars
    • In the News
    • Our Newsletters
    • Tests and Preps - GI Patients May Need
    • COVID-19 Safety Precautions
    • Scheduling an Appointment
    • Our Locations
    • Find a Physician
    • Conditions Treated
    • Health Plans Accepted
    • Frequently Asked Questions
    • Overnight Accommodations
    • Nutrition Program
    • Community Education, Events and Videos
    • Clinical Trials and Studies
    • Real Questions Videos
    • Video Gallery
    • Interactive Procedure Videos
    • Colorectal Cancer Screening
    • Webinars
    • In the News
    • Our Newsletters
    • Tests and Preps - GI Patients May Need
  • For Healthcare Professionals
    • How to Refer a Patient
    • Find A Physician / Our Faculty
    • Conferences and Lectures
    • Our Newsletters
    • Clinical Trials
    • Video Gallery
    • Videos from CME Programs
    • In The News
  • Clinical Programs
    • Celiac Disease Program
    • Center for Inflammatory Bowel Diseases
    • Center for Obesity and METabolic Health (COMET)
    • Esophageal Disorders
    • Familial Mediterranean Fever
    • Fecal Microbial Transplant
    • Functional GI Disorders Including IBS
    • General Gastroenterology
    • Hepatology
    • Integrative Digestive Health and Wellness Program
    • Interventional Endoscopy
    • Motility Program
    • Nutrition Program
    • Pancreaticobiliary Diseases
    • Celiac Disease Program
    • Center for Inflammatory Bowel Diseases
    • Center for Obesity and METabolic Health (COMET)
    • UCLA Robert G. Kardashian Center for Esophageal Health
    • Familial Mediterranean Fever
    • Fecal Microbial Transplant
    • Functional GI Disorders Including IBS
    • General Gastroenterology
    • Hepatology
    • Integrative Digestive Health and Wellness Program
    • Interventional Endoscopy
    • Motility Program
    • Nutrition Program
    • Pancreaticobiliary Diseases
  • Research
  • Fellowship Program
  • Video Gallery
  • Our Expert Team
    • All Clinical Faculty
    • General GI Faculty
    • Research Faculty
  • UCLA Health
  • myUCLAhealth
  • School of Medicine

UCLA Vatche & Tamar Manoukian Division of Digestive Diseases

For Healthcare Professionals

For Healthcare Professionals

For Healthcare Professionals

  • How to Refer a Patient
  • Find A Physician / Our Faculty
  • Conferences and Lectures
  • Our Newsletters
  • Clinical Trials
  • Video Gallery
  • Videos from CME Programs
    • 8th Annual UCLA-Mellinkoff GI and Hepatology Symposium March 6-7, 2020
    • 7th Annual UCLA-Mellinkoff GI and Hepatology Symposium March 1-2 2019
    • 6th Annual UCLA-Mellinkoff GI and Hepatology Symposium March 9-10, 2018
    • 5th Annual UCLA-Mellinkoff GI and Hepatology Symposium March 10-12 2017
    • 4th Annual UCLA-Mellinkoff GI and Hepatology Symposium March 11-13, 2016
    • 3rd Annual UCLA-Mellinkoff GI and Hepatology Symposium March 13-15, 2015
    • GI Issues for the Primary Care Physician 11-1-14
    • 2nd Annual UCLA-Mellinkoff GI Symposium March 7-9, 2014
    • GI Issues for the Primary Care Physician 2-22-14
    • Esophageal Disorders for the Primary Care Physician 9-18-13
    • UCLA-Mellinkoff GI Symposium March 8-10, 2013
  • In The News
  • How to Refer a Patient
  • Find A Physician / Our Faculty
  • Conferences and Lectures
  • Our Newsletters
  • Clinical Trials
  • Video Gallery
  • Videos from CME Programs
  • In The News
  1. Home
  2. For Healthcare Professionals
  3. How to Refer a Patient

How to Refer a Patient

Share this
UCLA health telemedicine during COVID-1p

Connect with Your UCLA Healthcare Professional Using Telemedicine

Instead of driving to your doctor's office for an exam, consultation or follow-up appointment, you can connect with your healthcare provider using app-based technologies on your tablet or smartphone. More FAQs and answers to your questions


By Phone

Beverly Hills - 310-855-7002
Burbank - 818-843-9038
Downtown LA - 213-988-8380
Encino - 818-461-8148
Porter Ranch - 818-271-2400
Santa Clarita - 661-255-2420
Santa Monica - 310-582-6240
Simi Valley - 805-583-7640
Torrance - 310-530-8013
West Hills - 818-340-8252
Westlake Village - 805-494-6920
Westwood - GI, Suite 205 - 310-208-5400
Westwood - GI, Suite 345 - 310-206-6279
Westwood - Center for Inflammatory Bowel Diseases - 855-IBD-UCLA / 855-423-8252
Westwood - Interventional endoscopy - 310-267-3636
UCLA Physician Referral Service - 1-800-UCLA-MD1 / 800-825-2631

Medical Procedures Unit Westwood - General Inquiries - 310-825-6676

Our Locations
We have locations across Los Angeles County to serve you

By Fax

The following services offer referral forms that can be filled out online and faxed to the appropriate service.

  1. The form serves as fax cover sheet and physician order.
  2. Once the information is completed just fax the form, with records and insurance information, to the number is listed at the bottom of the form.
  3. Please feel free to download the form as you can type directly onto the pdf or make copies for your files.

Motility Testing

Phone - 310-825-7540
Fax - 310-825-5176

GI function testing referral form

Interventional Endoscopy Services
Phone - 310-267-3636
Fax - 310-267-0007

UCLA Interventional Endoscopy Referral Form

Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest
UCLA Health hospitals ranked best hospitals by U.S. News & World Report
  • UCLA Health
  • Find a Doctor
  • School of Medicine
  • School of Nursing
  • UCLA Campus
  • Directory
  • Newsroom
  • Subscribe
  • Patient Stories
  • Giving
  • Careers
  • Volunteer
  • International Services
  • Privacy Practices
  • Nondiscrimination
  • Billing
  • Health Plans
  • Emergency
  • Report Broken Links
  • Terms of Use
  • 1-310-825-2631
  • Maps & Directions
  • Contact Us
  • Your Feedback
  • Report Misconduct
  • Get Social
  • Sitemap
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest

Sign in to myUCLAhealth

Learn more about myUCLAhealth