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Digestive Health Specialists of Mobile

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Referring to DHSM Is Simple


To refer your patient for an appointment with one of our doctors, please fill out the form below to complete an online request.  Once we receive your request, we will contact your patient directly within 24 hours to schedule their appointment.

Please print the following form and return by email or fax.

If you have any questions, please contact our office.

Your trust in us is appreciated!

The most sincere compliment that our practice can receive is a referral from another healthcare provider.

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