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UCLA Neurology Outpatient Clinic fax number

(310) 794-7491

Neurology

Used for: Neurology referrals/consultations and medical records submission (e.g., physician referrals, neurology consultation requests, and sending/receiving medical records).

Fax destination details

Department
Neurology
Purpose
Neurology referrals/consultations and medical records submission (e.g., physician referrals, neurology consultation requests, and sending/receiving medical records).
Form
Neurology Outpatient Consult Request Form — Neurology Outpatient Consult Request Form
Address
300 Medical Plaza, Suite B200, Los Angeles, CA 90095, USA
Voice phone
+1-310-794-1195

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill out the Neurology Outpatient Consult Request Form and fax it to 310-794-7491. Include patient information, reason for consultation, and any available studies; then call 310-794-1195 to schedule.

Official form instructions are published as a downloadable file on the organization's website.

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