Patient Center

Patient Center Online Forms

Speed up your visit by completing the necessary form(s) below. For your convenience, you can either fill the form(s) out online or download and print the form(s) and bring it with you to your appointment.

Welcome Form (required) - Download & Print

Privacy Rules (required) - Download & Print

Financial Statement (required) - Download & Print


Payment Options

At Dr. Peter J Kurtz, O.D., our mission is to provide quality service and products at reasonable pricing. We accept the following payment methods:

  • Cash
  • Check
  • We only accept Visa & MasterCard
  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)

Participating Insurances
Our practice accepts most insurance plans. Coverage may vary from one plan to the next. Please call our office to verify your benefits before your visit.