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Home / For Physicians / GI Referral - Fax

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
Online Referral Scheduling GI Referral - Fax GI Referral - Phone Imaging Referral - Fax Imaging Referral - Phone
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