Logo image

GI Referral- Fax

Texas GI Endoscopy Center offers easy-to-use fax-based physician referral forms. To fax your patient information, please follow the steps below:

1. Print the following form: 1 Step Referral
2. Complete the form.
3. Send the form to us via the following methods:

  • Scan and email to


  • Fax to: 972-681-7838