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Gastrointestinal Cancer

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Gastrointestinal Cancer

How to Refer a Patient

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  3. How to Refer a Patient

How to Refer a Patient

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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.

Gastrointestinal Function Testing

Medical Procedure Unit Phone - 310-825-6676
Medical Procedure Unit Fax - 310-794-4463

Clinic Phone - 310-208-5400
Clinic Fax - 310-208-3788

Gastrointestinal Function Testing referral form

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

UCLA Interventional Endoscopy Referral Form

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