If you would like a gift box to arrive at the time of your surgery at UCLA, please fill out the following form.  I can’t make any promises but I will do my best to send you something special.  Please tell me what hotel you’ll be staying at and if it’s a major hotel (if there’s more than one) then the address where it’s located.

I will respond as quickly as I can in letting you know that you’re on the list.  Please note this is only available for SURGERY dates and is not something we can just give out for consultation.  Please be respectful of others as there is only so much we can do.

[Form id=”9″]