GI Referral - Fax

Digestive Specialists, Inc. and Digestive Endoscopy Center, LLC offers easy-to-use fax based physician referral forms. To fax your patient information please follow the steps below.

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