Adelaide Private Surgeons
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​​The Colonoscopy / Gastroscopy request form can be completed below, or downloaded here:
    If the patient suffers from any of the following conditions, they will be required to attend a separate consultation with the specialist prior to admission for their procedure.
    Please place referring doctor's details below, or seek a separate referral to be faxed through. Without a valid referral from your GP or Specialist Medicare will not cover part of your procedure.
Submit


​​​​​​​Ph  (08) 81511333
Fax (08) 81511334
Email: admin@adelaideprivate.com
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​​​​​​​​St Andrews Medical Centre
Level 2, ​321 South Terrace
Adelaide, SA 5000

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  • About us
  • Surgeons
  • Dietitians
  • Physio
  • Resources
  • Find us