A simple way for doctors to refer patients to Colonoscopy Brisbane

Refer Your Patient

Referral Form

Thank you for considering Colonoscopy Brisbane for your patient’s care. This secure online form allows you to quickly refer patients for colonoscopy, gastroscopy, or specialist consultation with Dr Goutham Sivasuthan. Once the referral is submitted, our team will review the information and contact the patient directly to arrange their appointment or procedure. As a family-run practice, we are committed to timely access, clear communication with referrers, and patient-centred care.

PATIENT DETAILS

Patient Name
Address

REFERRING DOCTOR

Clear Signature

REQUEST A PROCEDURE

Procedure
Please tick all that apply
Indication
Please tick all that apply
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Why Refer to Colonoscopy Brisbane

At Colonoscopy Brisbane, we aim to provide high-quality, timely endoscopy services with clear communication back to referring doctors. Dr Goutham Sivasuthan is an Australian-trained specialist general and endoscopic surgeon with extensive experience in diagnostic and therapeutic endoscopy.

Our goal is to make the referral process straightforward while ensuring your patients receive safe, compassionate, and high-quality care.

Referring doctors can expect:

Prompt access to colonoscopy and gastroscopy

Clear communication and detailed procedure reports

No-gap colonoscopy and endoscopy for privately insured patients

Patient-centred care in a supportive, family-run practice

Efficient coordination with referring GPs

What Happens After Referral

Once your referral is submitted through our online form:

01

Our team reviews the referral

to ensure all relevant clinical details are included.

02

We contact the patient directly

to arrange their consultation or procedure.

03

Preparation instructions and appointment details 

are provided to the patient.

04

A detailed report

is sent to the referring doctor on the day of the procedure.

05

We follow up with the patient

to discuss the results and coordinate any further management where necessary.

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