To make an appointment with a UCLA neurosurgeon, please call 310-825-5111
For information about spine related conditions and treatments, visit the UCLA Spine Center in Santa Monica >
After you have called 310-825-5111 and scheduled an appointment, prior to your first visit, please complete the online Health History Form. Please do not complete this form if you do not have a confirmed appointment.
This information will be sent directly to our clinic to be entered into the electronic medical record. Providing this information prior to the visit will prevent delays in seeing your physician on the day of your appointment.
You also have the option of completing the form on paper and bringing it with you to your appointment: Health History Form (PDF).
In order to make your consultation with your physician as informative and thorough as possible, the following information will be required:
If you are a physician or his/her representative, please contact our general referral number 310-825-5111.