Direct Access Endoscopy

The Johns Hopkins Division of Gastroenterology offers the option of Direct Access Endoscopy to referring physicians to expedite patient care.

Click here to view the Direct Access Brochure.

Please note that this Direct Access Endoscopy program is operated by Johns Hopkins Hospital. For patients wishing to have endoscopy at Bayview Medical Center, please contact the individual Bayview gastroenterology offices directly to schedule an appointment.
 
 
Step 1 of 4: Eligibility Requirements

Which Patients are Eligible for Direct Access Endoscopy?
  • ANY medically stable JHH and Howard County General Hospital outpatients, ages 18-80, with specific accepted indications for endoscopy can be referred through Direct Access Endoscopy without formal GI consultation for the following procedures: EGD, Colonoscopy, Flexible Sigmoidoscopy, Endoscopic Ultrasound, and Capsule Endoscopy.
Which Patients are not Eligible for Direct Access Endoscopy?
(These patients will require prior GI consultation)
  • Unstable or acutely bleeding patients or those with a contraindication for endoscopy such as known or suspected perforation, severe or acute diverticulitis, fulminant colitis, uncorrectable coagulopathy or thrombocytopenia, unstable cardiac or pulmonary conditions.

  • Patients requiring advanced endoscopic procedures (such as photodynamic therapy, argon plasma coagulation, cryotherapy, mucosal resection, saline-assisted piecemeal polypectomy, laser, dilation, EUS-guided interventions such as celiac plexus block/neurolysis, pseudocyst drainage, etc.).
For Elective or Urgent ERCP (including inpatients at other hospitals):
  • For ERCP referrals, please page (410) 434-ERCP ((410) 434-3727). After dialing this phone number, wait for several beeps and then enter your phone number for callback, followed by the "#" button. Alternatively, you may send a short email to 4104343727@archwireless.net. This pager is active 24 hours a day/7 days a week.
How to Schedule a Direct Access Endoscopy
  • Press the Continue button below to complete the online referral form (preferred)
  • OR Download and fax the completed referral form to (443) 287-3847.  

NOTE: For CAPSULE ENDOSCOPY only: Submit these: 1. REQUEST  2. BILLING FORM 3. CONSENT and fax the completed forms to (410) 583.2626. Do not schedule capsules online.

If you have any questions, please contact (410) 502-0793.
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Step 2 of 4: Specify Patient Location
Use only the Previous and Continue buttons on this page (Do not use the Back and Forward buttons on your browser).
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Outpatient
Inpatient at Johns Hopkins Hospital:
Location (Building & Room)
Inpatient at Howard County General Hospital:
Location (Building & Room)

Has the patient been seen at Johns Hopkins before?
No
Yes
History Number (with check digit)

Choose a Procedure

EGD
Colonoscopy
Flexible Sigmoidoscopy
Endoscopic Ultrasound
Capsule Endoscopy (Available at JHH only)

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Step 3 of 4: Select All Applicable Indications
 
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Step 4 of 4: Patient Information
 
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(*) denotes required items.
* Requested Time: < 24 hours 24-72 hours > 72 hours
* Patient First Name: * Patient Last Name: * Birth Date: (M/D/YYYY) * Patient Phone:
* Mother's Maiden Name: * Mother's First Name:
* Father's Last Name: * Father's First Name:
* Address:
* Referring Physician Name: Referring Physician ID:
* Physician Telephone: * Physician Fax: Physician Email:
* Physician Address:
Name of person/ title completing the form if other than MD:
Comments:
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