Referral templates and referral forms

Referral templates and referral forms

GIE have both electronic and A5 paper referral pads for referral purposes to our Open Access endoscopy service.

The electronic template is available for Medical Director (MD), Best Practice (BP), PractiX, Zedmed and Genie programs. Please see below, the GIE referral templates and the instructions required to import the forms into your clinical program. Please remember to SAVE the template to a folder or to your desktop prior to opening the template. PLEASE DO NOT OPEN IN MS WORD.

If you would like our Marketing and Business Liaison Officer, Annette, to import this template for you, please call one of our four locations and leave a request.

Paper referral pads:

GIE referral pad

If you are requiring A5 referral pads, please contact one of our locations for delivery of our forms to your practice or please download the Referral Form here. Alternatively there is a GIE Referral Template for WORD here.