Thank you for your interest in UCLA Health! 
 
Please complete this form if you are inquiring about a second opinion from UCLA's world-class expert physicians. Our telemedicine team will get back to you within 2 business days.

If you are a patient who resides in California, you may call the UCLA clinic directly at 1-800-825-2631. 
 
Upon completing this form, you will receive an email and will have the opportunity to upload the following documents:
  • ​​​​​Patient's Photo ID
  • Patient's insurance card (if using insurance)
  • Medical records in English

Please Note: Do NOT use this service for medical emergencies or if you need immediate treatment guidance. If this is a medical emergency, please call your local emergency service number (911 in the U.S.) or go to the nearest emergency room.  
 
Are you the patient?*
Is the patient domestic or international?*

Please select domestic if the patient lives or works primarily in the U.S. (including US territories such as Guam and Puerto Rico) and does not have international medical insurance. 
Please select international, if the patient lives or works outside of the U.S. and/or if they have international medical insurance.