The majority of our patients are referred to us by their physicians or by grateful patients who have benefited from care at our Clinic. Patients do not necessarily require a referral to see us; this may depend on the restrictions set by your insurance company.

All prospective patients must complete the new Patient Review Form (PDF file).

Clinic Manager
UCLA Center for East West Medicine
2336 Santa Monica Boulevard, Suite 301
Santa Monica, California 90404
Fax: 310-829-9318
Tel: 310-998-9118

Please FAX at (310) 829-9318 or MAIL the completed form to us with the address provided above. You may also bring the completed form to your first appointment. Please note that you will NOT be seen by our medical team if your form is incomplete prior to your appointment. Afterward, please call 310-998-9118 to schedule your first appointment. Please do not hestitate to give us a call if you have any questions about the form.