How to Become a UCLA Cardiac Arrhythmia Center Patient
Arrange to have all medical documents (cardiac history and physical, recent physician notes, ECGs, holter and event recording with tracings, electrophysiology study reports, ablation or device reports, echocardiogram results, stress test, nuclear studies, cardiac MRI or CT reports) pertaining to your cardiac problem to be faxed or mailed to our center. Please be advised that current privacy laws require your written consent for personal health information to be transmitted.
Download/Print Authorization for Release of Health Information. English / Español
Please send your Medical Records and contact information by either mail or fax:
UCLA Cardiac Arrhythmia Center 100 UCLA Medical Plaza, Suite 660 Los Angeles CA 90095-1679 FAX: 310-825-2092
Our team of doctors and nurse practitioners will review your records prior to scheduling any new consultations, and will use this information to match you with the appropriate electrophysiologist to best determine your healthcare needs.