Patient Health Forms

Our Neuromodulation Team

For 20 consecutive years, U.S. News & World Report has recognized UCLA Neurosurgery as one of the top neurosurgery programs in the nation. The faculty members of UCLA Neurosurgery are committed to providing the finest and most comprehensive patient care.

• Initial Visit Questionnaire (PDF) »
• Pain Questionnaire (PDF) »
• Parkinson's Disease Questionnaire (PDF) »
• Tremor Questionnaire (PDF) »
• Email Consent (PDF) »
• Emergency Procedures - Intrathecal Baclofen Pump (ITB) (PDF) »