New Patient Forms
Find your care
Our bariatric surgeons use a range of treatments to help you reach weight loss goals and optimize your health. To learn more, call 310-825-7163.
Bariatric New Patient Forms
Please complete the documents and return them to our office via e-mail or fax prior to your consultation.
If you have any questions, please contact the office at 310-825-7163, option 2.
Authorization for Release of Health Information
Contact Us
To schedule a consultation with UCLA Bariatric Surgery in Los Angeles, California, call us at 310-825-7163 or fill out our online form.
For a physician referral, please call (800) UCLA-MD1 (825-2631).
*Weight loss results can vary depending on the individual. There is no guarantee of specific results. Read full disclaimer.