RFO Weight Loss Application
Please download the application and fax it to the number below to request an appointment. Appointments will be scheduled after review of the completed application.
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Download and print application
Appointment
If you would like an appointment with UCLA's RFO weight loss program and you can attend clinic at UCLA on a weekly basis then:
- Download and fill out the appication above and fax it to our office.
- Fax (310) 794-8837
- You will be contacted, after review of your application, for an initial appointment.