Georgia colon & Rectal Surgical Associates, P.C.

Georgia Colon & Rectal Surgical Associates, P.C.

Physician Referral Form

Physicians may print this referral form to refer patients to GCRSA. Please fax any required referral, as well as any pertinent diagnostic studies and office notes along with this form to the office where the patient will be seen.

Open Referral Form

Fax numbers for our locations:

  • Dekalb Medical Center at Hillandale fax: 404-501-8047
  • Dekalb Medical Center Professional Building fax: 404-292-6305
  • Emory University Midtown fax: 404-522-7382
  • Fayette Professional Building fax: 770-716-8690
  • Gwinnett Medical Office Building fax: 770-995-5742
  • Northside Hospital Forsyth fax: 678-455-2856
  • Northside Alpharetta Professional Building fax: 770-442-0969
  • The Medical Quarters fax: 404-252-5745