Referral Form

GI Partners of Illinois strives to provide quality patient care and excellent physician services. We accept a wide variety of insurance plans and appreciate the opportunity to care for your patients. Thank you for trusting us to care for your patients.

To ensure we are able to give the best patient care, please fill out our referral form completely and send over the following information:

  • Office Note (last 2 visits)
  • Medications
  • Allergies
  • Labs (last 2 visits)
  • Diagnostics (last 2 visits)
  • Family History
  • Demographics
  • Problem List
  • Height/Weight


Please forward the above notes to appointments@gipartnersofil.com.