Eye Exam Request Form
At Kennedy & Perkins we care about you and the health of your eyes, and look forward to providing you the highest quality vision care at each and every appointment. In order to provide this level of care for all of our patients we have created a Patient Attendance policy. This is posted in our office, on our website, and will be emailed with all appointment confirmations.
When you schedule an appointment with our office we prepare your records, verify and research insurance coverage(if applicable), and reserve the doctor’s time to provide you the care you deserve. We understand that changes in your schedule may occur , and we ask that you contact our office as soon as possible if you need to reschedule. This allows us to release your reserved appointment to another patient who needs care. If you are unable to provide at least 24 hours notice, or you do not come in for your scheduled appointment, this will be considered a “no show” and the policies outlined below will apply.
- 1st no show: We understand the situations such as personal or medical emergencies arise, no fee is applicable.
- 2nd no show: We understand the situations such as personal or medical emergencies arise, no fee is applicable.
- 3rd no show: In the event of a third missed appointment, full exam prepayment is required in order to reserve an appointment time.
- 4th no show: In the event of a fourth missed appointment without prior notice, our staff will be unable to reserve future appointment times for you, in this case please contact K&P management with any further concerns.