Pre-Admission Registration

Option 1

To register your delivery using myUCLAhealth, please follow all of the steps listed below:

1) When you are logged into your myUCLAhealth account, you can click on the Menu button, and find Register for My Delivery.

2) Enter your expected due date if it is not listed, and select the hospital where you plan to give birth.

3) Click Continue.

4) Verify or update your Personal Information, Insurance Information, and appointment-related Questionnaires.

5) Review your responses, and click Submit.

Option 2

To complete the pre-admission process, please follow all of the steps listed below:

1) Print and complete the Pre-Admission Registration form (see below). If you have not yet chosen a pediatrician for your baby, please write (to be decided) in the space after "Pediatrician."

2) Print and complete two Terms and Conditions of Service forms -- one for you, and one for your baby -- and sign them. (If you're expecting multiples, you must complete a form for each baby.)  For the "Relationship of Representative to Patient" section underneath the signature, write "Self" on your form, and "Mother" on baby's form.

3) Before completing the section about "Advance Directives" on the Terms and Conditions of Service forms, please read the "Patient Rights and Responsibilities" section of our website and the document below titled "Your Right to Make Decisions about Medical Treatment."   It will help you better understand and answer the questions in this section.

4) Do not complete the "Advance Directives" section on your baby's form. Draw a line through it and write "Minor".

5) Mail all of the above documents with your insurance form or a copy of your insurance card (both sides) to: 
Westwood: Attention Main Admissions & Registration
757 Westwood Plaza Room 1314
Los Angeles, CA 90095

6) If you have a completed Advance Directive, please include a copy with these forms.

7) Mail completed forms at least 2 months before your due date.

Please note: We don’t accept faxed copies of the terms and conditions of service form, as original signatures are required.