Direct Gastroscopy Referral — Doctors Only

This direct-access gastroscopy referral form is for doctors only. Enter the patient and clinical details. The referral will be reviewed before a procedure is booked. For urgent referrals, call the rooms on 03 8584 2399.

Cost to your patient: a gap of $100 usually applies for Dr Lourensz's fee for a gastroscopy. The anaesthetist and hospital may charge separately.