Karen E. Kennedy,
MD, FACOG, RPh
Gynecology
Phone: 850-916-7766 Fax: 850-916-5144
1118 Gulf Breeze Parkway,
Suite 201,
Gulf Breeze, Florida 32561
(Behind the Gulf Breeze Hospital)
Harvest Village, 7552 Navarre Parkway, Unit 18, Navarre, FL 32566
(Behind Vinnie R's Italian Restaurant)
New Patient Information & Forms
This page contains information regarding our office hours, appointments,
financial policies, insurance matters and other topics.
We prefer that you complete your medical information on the patient portal as
opposed to printing and filling out these forms.
General Information
Welcome to the practice of Karen E. Kennedy, MD, Premier Women's Healthcare of Northwest Florida. We hope you will find our office friendly and efficient. We will do everything possible to make your visit with us comfortable. We look forward to developing a health care relationship with you. Please read the following information about our office procedures to help your visit run smoothly. We recommend you file this information at home for future reference.
Office Hours and Appointments:
Gulf Breeze Office:
Monday through Wednesday 7:00 AM to 4:00 PM
Thursday and Friday 7:00 AM to 12:00 noon
Navarre Office: new hours!
Tuesday and Wednesday 7:00 AM to 4:00 PM
Friday, 7:00 AM to 12:00 noon
Phones are off from 12:00 p.m. to 1:00 p.m. Mondays through Wednesdays.
New patients are asked to fill out their medical history forms prior to their first
appointment. (See the three patient forms at the bottom of this page.) Your attention
to the details on our patient history forms assists our office in providing the best
care for you.
If you are late for your appointment, we may have to reschedule. If you need to
cancel an appointment, please notify our office more than 24 hours before the
appointment time. This courtesy is appreciated not only by our office,
but other patients as well. If a second appointment is missed without canceling more than 24
hours beforehand, you might not be able to be seen at this office. We will charge patients
for not notifying us more than 24 hours before an appointment of a cancellation or change.
Financial Policy
Payment for the appointment, including co-pays, deductibles and percentages of
charges are collected at the time of service. We accept checks, cash, MasterCard and
Visa credit cards. Non-covered services, as identified by your insurance plan, will
be considered patient's responsibility. Self-pay payment in full is expected at time of
service.
Our office has a billing representative who is available during regular business hours to
discuss pre-payment for surgeries should you desire this information.
Note: Pap tests and/or lab tests are routinely sent out to a local or national lab. The
lab/pathology will bill separately for these services. It is important that your insurance
information is current and correct for this billing to occur smoothly and to know the
participating lab required by your insurance plan. The lab/pathologist will bill
you directly if your insurance does not cover this service or if you pay privately (no
insurance).
Insurance Policy
Thank you in advance for bringing your most up to date insurance card with you to your
scheduled appointment. Copies will be made for our records.
We can bill your claims if we are a participating provider with your insurance company.
However, please note...if your insurance company does not remit payment within 45 days
from the date of service, your personal payment of the bill in full is expected, unless
other arrangements have been made with our office. Should your insurance pay after your
payment is received, you will receive a timely, full refund.
Payment in full is expected at the time services are rendered if we are not a
participating provider with your insurance company.
Authorizations
If your insurance company requires an authorization from your primary care physician,
please obtain this before the appointment.
After Hours
After office hours, there is an answering machine for the office where general messages
may be left. Patients are asked to contact our office during office hours to reschedule an
appointment. For prescription refills, a message may be left for simple refills.
Dr. Kennedy may be reached in emergencies by calling the Doctor's Directory at 850-444-5305.
Results
Tests ordered by the office will be posted on the portal by two weeks after the test is
performed. Patients should check the portal for all results. If a result requires discussion,
an appointment will be made.
Family Members
We are able to accommodate an extra family member attending the patient. Often the visit
runs more smoothly if there are not many family members present. Please make arrangements
for small children to be attended by another caregiver. Babies who can remain in their carriers are welcome.
Again, we look forward to providing you the best gynecological care for your health.
Viewing and Printing Documents and Forms
You can view and/or print our General New Patient Policy, our Patient Information form, or our
History and Physical Information form if you have the Adobe Reader program. If you
do not have it, you can download it using the icon at the bottom of this page.
To view a form once you have the Adobe Reader, just left-click on the appropriate button.
To print a form that you are displaying, click on the 'printer' icon at the top of the
Adobe Reader window.
Phone: 850-916-7766 Fax: 850-916-5144
1118 Gulf Breeze Parkway
Suite 201
Gulf Breeze, Florida 32561
Behind the Gulf Breeze Hospital.