How to Refer a Patient

By Phone

UCLA Physician Referral Service - 1-800-UCLA-MD1 310-825-2631
Beverly Hills - 310-855-7002
Burbank - 818-843-9020
Encino - 818-461-8148
Porter Ranch - 818-271-2400
Santa Clarita - 661-255-2420
Santa Monica - 310-582-6240
Torrance - 310-530-8013
West Hills - 818-340-8252
Westlake Village - 805-494-6920
Westwood - 310-825-1597

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

Our Locations
We have locations in Beverly Hills, Burbank, Encino, Porter Ranch, Santa Clarita, Santa Monica, Torrance, West Hills, Westlake Village and Westwood 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.