Referring Physician Resources & Forms

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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 @ 310-474-9800 ext. 106

Referral forms are regionalized and can be accessed below:
Los Angeles County:
-South Bay facilities: UMI of Torrance, Gardena and Inglewood click here for Referral Form

-Downtown and West Los Angeles facilities: UMI of L.A. and Beverly Hills click here for Referral Form

-East and South East Los Angeles facilities: UMI of Downey, East L.A., and Maywood click here for Referral From

Orange County:
-All Orange County facilities: UMI of Buena Park, Garden Grove, Brea, Huntington Beach, Fountain Valley, and Irvine click here for Referral Form