Easy access colonoscopy

Step 1


General Practitioners and Specialists can refer patients with uncomplicated medical histories to Colorectal Surgery via fax or telephone. You need only make one trip to the hospital where you will be seen by a Specialist and a colonoscopy performed.

Step 2


A positive faecal occult blood test.

A family history of bowel cancer.

A prior medical history of carcinoma or polyp and require surveillance colonoscopy.

You must be privately insured or be willing to pay private hospital fees.

Step 3

Phone Consultation with our Nursing team

When the referral is sent to our surgeon, please complete the form below and nursing staff will contact you to work out a suitable date for your colonoscopy. You will then be sent a set of instructions, bowel preparation information to clean the bowel out, and a patient information form.

Step 4


On the day of your colonoscopy you will meet your surgeon prior to your procedure and they will visit you after the procedure to inform you of your results along with sending to your referring doctor.

To be booked for an Easy Access Colonoscopy please complete the patient information form below and upload your current GP referral.

Once submitted one of our Nurses will contact you to arrange a date for your Colonoscopy.

personal details

Required Field*

reason for referral

Patient health assessment

Is there a possibility you may be pregnant?*


Rectal Bleeding*

Unexplained change in bowel habit*

Abdominal Pain*

Unexplained Weight loss*

Faecal Incontinence*

Current Medical Conditions


Cardiac Stents*

Severe Heart Disease*

Mental Illness*



Financial Consent*

Privacy Policy*


Privacy Consent*

please attach referral Below