Welcome to Gastronenterology.net.au - Dr. Simon Louis Gastroenterology procedures - endoscopy, colonoscopy, gastroscopy List of common digestive diseases and their symptoms, treatments and other information Referring Doctors and GP's click here for referral forms Important links regarding gastroenterological and digestive disease information Contact Dr Simon Louis - gastroenterology.net.au
 
Referring Doctors
 
     
  If you are a referring doctor and you wish to submit a referral form for a patient, you may either click here to download the PDF referral form or you may fill in the form below and submit it electronically to Dr. Louis's office.

 
 
PATIENT INFORMATION  
Patient Name
Date of Birth
Phone Number
   
REQUEST  
Reason for Referral
Clinical Details
If you have a preferred pathology provider, please indicate:
   
REFERRING DOCTOR DETAILS  
Name
Date
   
 
  All fields are required.
   
 
 
 
 

PLEASE CLICK ON THE FOLLOWING LINKS  TO DOWNLOAD PROCEDURE INFORMATION.
Click here to view information about your colonoscopy.
Click here to view information about heamorroid banding procedures.
Click here to view information about your gastroscopy or endoscopy procedure.

PLEASE CLICK ON THE LINK BELOW TO DOWNLOAD  CONSENT FORMS AND PROCEDURE CENTRE INFORMATION.
Click here to download your procedure consent forms and to find out information on your procedure centre.

The information contained in the above pages is in PDF format. If you do not have Adobe Acrobat Reader, you may click here to download it.

 
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Gastroscopy | Colonoscopy | Haemorrhoid Banding | Ulcerative Colitis | Crohns Disease | Haemorrhoids | Gastroesophageal Reflux | Irritable Bowel Syndrome |
Barrett's Oesophagus | Coeliac Disease | Chronic Hepatitis C | Cirrhosis of the Liver | Collagenous + Lymphocytic Colitis | Colonic Polyps | Constipation |
Delayed Gastric Emptying | Diarrhoea | Diverticulosis + Diverticulitis | Duodenal Ulcers | ERCP | Faecal Incontinence | Flatulence | Gall Stones | Gastritis | H Pylori + Peptic Ulcer | Heartburn | Hepatitis C | Hiatal Hernia | Liver Biopsy | NASH | NSAID's + Peptic Ulcer Disease | Pancreatitis | Peptic Ulcers | Polyps

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Dr. Simon Louis www.gastroenterology.net.au
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Disclaimer : Please note the information on this website is an educational resource only, and should not be used as a basis for decisions about any treatment. All such decisions must be discussed in consultation with Dr Simon Louis or a qualified medical practitioner.