Endoscopy GP/Doctor’s Referral Form

Before a patient can undertake an endoscopy procedure, they must get a referral from a General Practitioner or family doctor.

Please follow this procedure:

Step 1. Call us on 9781 5959 to make an appointment
Step 2. Print Referral Form & take it to your Doctor
Step 3. Read the Appointments Page

Direct Endoscopy encourages General Practitioners to keep a copy of this form for patient referral purposes. Members of the public are also welcome to keep and print this form for your convenience if seeking a qualified doctor’s referral to our specialist gastroenterologists.