Thank you for your interest in UCLA Health!
Please complete this form if you would like to refer a patient to UCLA Health for Pediatric Inflammatory Bowel Disease care.
If you would like to speak with someone immediately, please call 866-517-1134.
Upon completing this form, you will receive an email and will have the opportunity to upload the following documents if available:
- Patient's insurance card front & back (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.