Office Forms

• If you are a new patient to Dr. Kreuzer, please click here
• If you have already seen Dr. Kreuzer in the past, please click here
• If you have been to our clinic and would like to fill out a patient satisfaction survey, please click here

Forms Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe box. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process. Thank you.

• Patient Information Form
• Financial Policy Statement
• Lifetime Beneficiary Claim Authorization
• Notice of Privacy Practices

If you cannot access the forms you can click on the icon below to download the software.