​​Digestive Pelvic Floor Centre

Referring Your Patients for Direct Access Endoscopy is easy:

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1. Download the pdf form below, once completed, you can either fax it to us or submit it directly in our website below 

2. Our staff will contact your patients within the next 2 business days to arrange the endoscopy for your patents.

* Please contact our staff over the phone directly if your patient needs an urgent endoscopy  arrangement.