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UCLA Division of Digestive Diseases

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How to Refer a Patient

By Phone

UCLA Physician Referral Service - 1-800-UCLA-MD1 (800-825-2631)
Porter Ranch - (818) 271-2400
Santa Monica - (310) 582-6240
Thousand Oaks - (805) 418-3500
Westlake Village - (805) 494-6920
Westwood - (310) 825-1597

Medical Procedures Unit - General Inquiries - 310-825-6676

Our Locations
We have locations in Porter Ranch, Santa Monica, Thousand Oaks, 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

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

UCLA Center for Inflammatory Bowel Diseases
Phone - 855-IBD-UCLA / 855-423-8252
Fax - 310-206-9906

 

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