We currently use our patient portal for much of our registration process. When you call for your appointment we can set you up with access to the portal.
If technology is too confusing, we encourage you to fill out these forms by hand prior to your visit (this is a must if you are having a Colonoscopy without a visit first). These can be faxed to us at (212) 362-0851 or they can be mailed. Please send us a copy of your insurance card and a copy of your photo ID as well. Filling out these forms will ensure that we can appropriately bill your insurance company. In addition to the registration documents, please download the appropriate prep that was given to you on the telephone (in general Suprep on Mondays and Moviprep on Wednesdays)
Patient Registration Forms (includes HIPAA form, Demographics, and Medical Questionnaire)
Suprep Instructions
Moviprep Instructions
Please remember that we will still need a copy of your insurance card and a form of photo ID.
Eastside Endoscopy services. These are separate from any professional fees Dr. Breite receives for performing a procedure. The office will confirm our participation for our services with your insurance at the time of scheduling. The ancillary providers we use include:
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