UCLA Health Appointment Request

If you are having a medical emergency, call 911 or go to your nearest emergency department. For urgent matters, please contact your doctor's office or click here to see Immediate Care locations.

Existing patients can request appointments and communicate with their care team by signing into myUCLAhealth.

Please use this form only if:

  • You have never been a patient at UCLA Health, OR
  • You have been a patient at UCLA Health but are seeking an appointment with a new doctor or within a new clinical specialty.
Note: all physicals, follow ups and medication management appointments should be directed to your current care team.

After you submit the form, a Physician Referral Representative will call you back within 1-2 business days (excluding weekends/holidays) to make an appointment. You may also speak with a representative directly at 310-825-2631, Monday – Friday, 7 am to 7 pm.

MM/DD/YYYY