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Instructions/Referral Form

Procedure InstructionsProcedure Instructions.

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Following is the Atlas Endoscopy
Referral Form


Please fax a completed referral form to our fax number: 905-948-8358


After receiving the referral, we will contact the patient directly to:

  • Arrange an endoscopy.
  • Provide preparation instructions.
  • Provide helpful material that answers common questions about the procedure.


To book an appointment for your patient, contact us at either 905-948-9119 -OR-
905-948-9061 Monday to Friday from 8am to 4pm.


Our commitment is simple:


To provide the highest quality care, in a welcoming and comfortable environment