In order to refer your patient for TMS treatment at UCLA, please download and complete this referral from and fax it to us at 310.825.7642, or email us at TMSreferrals@mednet.ucla.edu. To refer a patient via Care Connect, please follow the instructions here.
TMS treatment at UCLA requires a referral from your health care provider. Your current provider should fill out this referral form and fax it to our offices at 310.825.7642, or email it to TMSreferrals@mednet.ucla.edu. Please also complete this record release form and give this to your provider so that he or she can provide information on your past treatments to us for this evaluation.