Referring Physicians - Gastroenterology

Thank you for your referral. Please download the OU Children's Physicians Referral Form, fill it out and fax it in to (405) 271-5965. The Children's Patient Access Center will schedule an appointment and notify your office of the time and date within 72 hours. In order to process the appointment, please include the following information.

• Legible copy of Insurance card(s) (front and back)
• Office note pertaining to this referral
• If required, copy of referral or authorization
• Lab results pertaining to this referral

Please print out the following documents and give them to your patient to fill out and review:

• Gastroenterology Welcome Letter
• Patient Self-assessment Form
• Patient History Form
• Map and Directions