Physician Referral Center

Submitting Your Physician Referral Form


Use this online form to simplify your referral process. We will contact your patient immediately. 

We thank you for trusting San Bernardino Gastroenterology Associates with your patient's digestive care. Be assured that while here your patient will be treated with respect and will return to you having received the effective, state-of-the-art diagnostic and/or treatment services they need to feel their best.

Fax Option

If you'd prefer to fax this information, please download our PHYSICIAN REFERRAL FORM. Then attach any chart notes relevant to this patient’s care and fax to our office in Rialto at (909)-881-0668.