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UCI Health will see you now: Welcome to our new co-workers and patients from Fountain Valley, Lakewood, Los Alamitos and Placentia Linda! 

Practitioner Questionnaire

The UCI Health online directory hosts bios of physicians and other healthcare professionals. These profiles include name, specialty, board certifications, medical education/training and practice locations. 

We use this questionnaire to gather more information about your clinical and research interests, languages spoken and other details. Submissions are sent automatically to Provider Relations and Marketing & Communications. 

To update an existing clinical profile, please provide corrected information in the relevant fields below. 

Questions? Contact Provider Relations at upsprovrel@hs.uci.edu or Marketing & Communications at health.marcom@hs.uci.edu 

Note: Bio information is reviewed for spelling, grammar, accuracy and UCI Health and UCI style guidelines. Some requests may require additional vetting. 

Thank you! 

In order to successfully submit the form, please ensure that all fields marked with an asterisk (*) are completed.

Note: Per UCI Health style guidelines, we do not repeat the title Dr. on second and subsequent references. See example below.

Example: Dr. Shannon A. Melcher is a board-certified UCI Health primary care provider who specializes in family medicine and managing chronic diseases such as diabetes, hypertension, chronic heart failure and hyperlipidemia. Her clinical interests include adolescent health, sports medicine, women’s health, preventive medicine and reproductive planning. Melcher earned her medical degree from the Chicago Medical School at the Rosalind Franklin University of Medicine and Science in North Chicago, Ill. She completed her family medicine residency at UCI School of Medicine. She enjoys working in partnership with each patient to help them achieve their health goals. She is also interested in preventive medicine with an emphasis on nutrition and wellness training. Melcher, who speaks intermediate level Spanish, sees patients at UCI Health — Tustin.)