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Contact Us

At Kensington Optometry, we value your time. In an effort to save you time in our office, we have a secure patient portal where you can assist us with compiling all needed information directly into your health record. Please click on this link to register and complete the 3 required forms to streamline your experience in our office:

Kensington Optometry Secure Patient Portal

Click on "I want to Register"
Complete all fields, being careful to use the email that our office currently has on file for you (if in doubt, please call our office before registering to confirm)

If you prefer paper, you can also download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form

Download the Free AdobeReader®

Appointment Cancellation Policy

Time is valuable. We value our patients’ time, and understand that all of us have busy lives! Out of consideration for all of our patients, we kindly request your attention to the following policy:

We all know that unforeseen situations can arise requiring you to reschedule your appointment. If you must cancel an appointment, we require that you notify us at least 48 hours prior to that appointment time. This will allow other patients to utilize that valuable appointment slot. Without 48 hours advance notice, we cannot reasonably offer that appointment to someone else who needs it.

Appointments cancelled less than 48 hours prior to the scheduled time will be subject to a $50.00 “No-Show” fee.

Patients who incur a “No-Show” two (2) or more times in a 12 month period, will be allowed to schedule an appointment, on an as-available basis, on the day of their request only.  They will also be subject to a $50.00 fee for each occurrence.

No Show fees are the responsibility of the patient and must be paid in full before the patient’s next appointment.

We understand that unexpected events can occur, necessitating a sudden change in plans. In such an unlikely event, fees may be waived with special consideration, but only with approval of the management.

Our practice firmly believes that a good physician-patient relationship is based upon clear understanding and communication. Please ask our staff if you have any questions about our cancellation policy or no show fees.