To initiate the appointment process, please download and complete the following forms:
Please note that to schedule an appointment, a patient must be able provide access to the medical records from his or her cancer treatments. These records are a vital part of the survivorship consultation visit, and help to ensure that the VITA program can provide the best evaluation and recommendations for follow-up care.
After you have completed both forms, please contact Erin Hahn, M.P.H., at (310) 825-9781 or by e-mail to make an appointment.
Last updated: 2/25/2010 10:55:39 AM