535 Second Ave, New York, NY 10016.  Tel: 212-889-5477     Fax: 212-889-0525

 
 Patient Satisfaction Survey
 
Pre-visit forms are required for your visit to the Center. Please either complete these forms online and print them, or print them and fill them out by hand.
Please bring these completed forms with you on the day of your appointment.

Note: Completing these forms online WILL NOT retain any record of your personal information. It is designed solely for your convenience, to help utilize your time with us most productively.
You will have to print a second copy if you want to keep a record of this information.
 
 Patient Instruction Packet
Form(s) require Adobe Reader to view or print.
 
 
 
 
 Notice of Privacy Practices
 
 

The primary goal of the Kips Bay Endoscopy Center LLC (KBEC) is to provide the highest quality of medical care to our patients, in our Ambulatory Surgical Care Center. We take pride in our dedication, in assuring our patients and physicians, of our commitment to providing a state of the art ambulatory surgical center, enabling our physicians to operate and provide each patient with the best possible medical care.

We recognize the unique nature and problems of each patient and strive to meet their needs, in the safest way possible.

It is our hope that our dedication and commitment, as well as our most modern facility will enable us to meet these goals.

 
 
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