How to Refer a Patient

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 - 805-526-8252
Torrance - 310-530-8013
West Hills - 818-340-8252
Westlake Village - 805-494-6920
Westwood - GI, Suite 205 - 310-208-5400
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.