• Gryphon Login
  • MyCourses
  • Alumni
  • UCLA Health
  • Contact Us
Behavioral Wellness Center

Behavioral Wellness Center

Behavioral Wellness Center
  • Home
  • Our Team
  • Services
  • Contact
  • Crisis
  • Resources
  • Forms
  • Appt. Request
  • Gryphon Login
  • MyCourses
  • Alumni
  • UCLA Health
  • Contact Us

Behavioral Wellness Center

Forms

  1. Home
  2. Behavioral Wellness Center
  3. Forms

Be Prepared, Come Prepared

Share this

The Behavioral Wellness Center serves many populations, filled with diverse trainees. To best serve you, we have developed forms to meet various needs.

Once the relevant form is complete, please email it to bwc@mednet.ucla.edu, or fax it to our secure and confidential line, (310) 206-2072.

Please try to complete and submit prior to your first appointment.

We are happy to provide educational presentations for departments, programs or student organizations.

Please try to complete within a week after your final appointment.

Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest Follow us on Flickr Follow us on Sharecare
Top 10 U.S. Medical Schools
  • Giving
  • Contact Us
  • Diversity
  • Emergency
  • Maps & Directions
  • Publications
  • Directory
  • Abuse Free
  • Volunteer
  • Biomed Library
  • Newsroom
  • Smoke-Free
  • Sitemap
  • Terms of Use
  • Report Broken Links
Top 10 U.S. Medical Schools
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest Follow us on Flickr Follow us on Sharecare