Locations St. Luke's Gastroenterology AssociatesGastroenterology Appointment Request

Gastroenterology Appointment Request

Fill out this form if you are interested in scheduling an appointment with one of our gastroenterologists. We will call you within two business days. Alternatively, you can call 218.249.7940 to schedule an appointment.

If you have any questions, please call 218.249.7940 or message your provider through your myCare Patient Portal.

If you or a family member is experiencing a life-threatening injury or illness, call 911.

Patient First Name*

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Patient Last Name*

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Contact Person (if different than patient)
Phone*

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Date of Birth
Appointment Type*

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Reason for Visit and Provider Preference (if any)*

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