Physician Referral Process

Our online paperless referral form is the fastest and easiest way to refer your patients to DSI and DECL. To access our online form, simply click the link below. Then fax your patient's records, labs and any other supporting documents to

Online Referral Form

You can also print and fax a form, or you can call to make an appointment.

To print and fax: 

1. Print the following form: 1 Step Referral


2. Complete the form


3. Send the form to us via the following methods:

Scan and Email to:  1stepincoming@digestivespecialists.com

                   OR

Fax to: (937) 293-8772

 

You may also schedule your patient's visit over the phone, by calling our scheduling line at 937-534-7330.



Back to Digestive Specialists Home