To begin the referral process

  1. Select one of the forms below by specialty
  2. Print the PDF version of the Referral Form
  3.  Fax the completed form, signed by the prescriber, and the fax cover sheet (if provided) back to us at the fax number indicated on the PDF.

…and we’ll take care of the rest for you!

Phone: 305-468-4199
Fax: 786-621-7214
Email: pharmacy@gastrohealth.com