UMIH provides comprehensive services to your patients. We have provided you with the online tools to better process your patients. Our staff will be happy to help you with any questions if you would like to contact us directly at (310) 474-9800 ext. 106.
Referral forms are regionalized and can be accessed below. All forms are in Adobe PDF format. If you do not currently have Adobe Read installed, you can download it at the link below.
Century City, Downtown Los Angelesdownload form
Gardena, Torrance, Inglewooddownload form
Downey, East Los Angeles, Maywooddownload form
Buena Park, Brea, Garden Grove, Huntington Beach, Irvine, Fountain Valley, Anaheimdownload form
Northridge, Santa Claritadownload form
West Covinadownload form