Peel Health Campus
Part of Ramsay Health Care

Referral and Admission Forms

Please note that public endoscopy bookings are open access and must be submitted on the approved referral form below either in Word or in one of the practice management software formats. This should be emailed to

Public endoscopy referrals submitted by other means will be rejected.

Private endoscopy referrals must be directed to the chosen gastroenterologist or general surgeon. Click here to search for a specialist or to download the PHC VMO Directory

Public Endoscopy referral formats