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UCLA's Jonsson Comprehensive Cancer Center

Related Information:
VITA: Restoring Life After Cancer
What is VITA?
Is VITA right for me?
Make an Appointment
Meet the Team
Contact Us 

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 Amy Jacobson, R.N., N.P.-B.C., at (310) 794-7525 or email to make an appointment.

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Last updated: 12/19/2014 3:53:35 PM