Digestive Diseases

Required Records

Please include all needed records with the referral form. Specialty Specific Records below:
General GI

1. Clinic/Hospitalization Notes
2. All labs within the last year
3. All EGD/Colonoscopy (color preferred)
4. Any pertinent pathology reports
5. All imaging within the last 2 years (US, CT, MRI, gastric emptying study)
6. If applicable: color copy of capsule study, motility studies (esophageal/anorectal manometry, Bravo/pH impedance),
   breath test studies.

Biliary, Pancreatic Diseases & Advanced Endoscopy

1. Clinic/Hospitalization Notes,
2. All labs within the last year,
3. All EGD/Colonoscopy/Enteroscopy/ERCP/EUS/RUS Reports (color preferred)
4. Any pertinent pathology reports.
5. In addition to the records outlined above the specific procedures below will need the noted records:
   Balloon Enteroscopy – Color Copy of Capsule Report
   Barrett’s with Dysplasia – Outside Pathology Slides
   GPOEM – 4-Hour Gastric Emptying Results
   POEM – Color Copy of Esophageal Manometry Report

Inflammatory Bowel Disease

1. Clinic/Hospitalization notes (including sub-specialty notes: Colorectal Surgery, Rheumatology, Dermatology etc.)
2. All Labs within the last year
3. All EGD/Colonoscopy Reports (color preferred)
4. Any pertinent pathology reports (i.e. endoscopic/surgical)
5. Color Copy of Capsule Report
6. Any pertinent operative reports
7. All imaging (CT, MRI)
8. Last infusion note
9. Vaccination records.

Motility

1. Clinic/Hospitalization Notes
2. All EGD/Colonoscopy (color preferred)
3. Any pertinent pathology records
4. All motility studies (Esophageal/anorectal manometry, Bravo/pH impedance,) with color photos/tracings
5. All imaging (CT, MRI, Upper GI/barium esophagram, gastric emptying study, small bowel follow through, sitz marker study,
   defecography) within last 2 years.
6. Indication for referral: - Achalasia/Esophageal motility disorder
   - Eosinophilic esophagitis/gastritis
   - Gastroparesis
   - Small bowel dysmotility/pseudoobstruction
   - Colonic inertia/anorectal disorder

Incomplete records could delay the scheduling of patients.
If your practice uses Epic please encourage patients to participate in Care Everywhere for easier record sharing.

Thank you for entrusting Emory Healthcare and our team with your patient. In order to provide the best service for you and your patient, please take a moment to complete the GI Referral Form. 

For Referring Physicians

At Emory Healthcare, providing prompt communication and collaborating with our patients’ physicians is a top priority. To refer a patient or for assistance in navigating our health care network, we have several resources available:

Physician Consult Line
Please call 404-778-5050 or 800-223-6679.
Mon–Fri, 7:30 a.m.–6 p.m. ET

Direct Secure Messaging
emoryclinicreferrals@direct.emory.org

Air Transport 
Please call 888-763-1010. 

Emergency and After Hours Transfers
Please call 404-686-8334.