To refer a patient, please submit the form below. One of our access coordinators will contact you within two business days.
- You may also refer a patient by phone: 617-726-0607
Thank you for your interest in the Barrett’s Esophagus Treatment Center at Massachusetts General Hospital.
Patient medical documents will be reviewed within two business days of receipt and you will receive notification of the patient's referral status. If your patient meets the program criteria, you will receive a letter confirming his/her scheduled appointment.
To facilitate evaluation of your patient, please fax copies of the patient’s medical records (including all endoscopy reports within the past five years) to 617-724-5997.