To request an appointment at Louisville Endoscopy Center:

Download the form below and email to Deanna Lennon, bypass coordinator, at DLennon@amsurg.com.

Una vez firmado este documento, favor de mandarlo por correo electrónico a Deanna Lennon, coordinadora de
derivación, en la dirección DLennon@amsurg.com.

If you’d prefer a packet mailed or phone call before filling out the above packet, please fill out the form below. We will contact you to schedule the appointment.

Please note: This request form is not intended as a tool for reporting a medical emergency or medical problem. It will not go to a physician and is only monitored during normal business hours. If you have critical or timely information, please contact a physician directly. If you have a medical emergency, please call 911.