Thank you for referring your patient to the UCLA Gonda (Goldschmied) Venous Center. Please enter all required information below. One of our friendly staff will contact you within 24 - 48 hours. You can also call our office at (310) 825-4357.
For patients with HMO coverage to be seen at the venous center, an insurance authorization is required from their primary care referring physician. With a patient's consent, a copy of the consultation note will be forwarded to the referring physician.