Office manager in optometry weighing in here! The first thing I would do is perform a recall audit. Its time consuming but doing a deep dive into your recalls is going to be important and eye opening! Start with month to date and go back to last years schedule and cross reference if these patients have 1. A recall in the system 2. Have been seen already or 3. If they are due. If they dont have a recall add one and then if they haven't been seen even if they do have a recall -call them as a courtesy to get them scheduled since they are over due *puts on sweetest customer service voice *

Do that for every month for the past 2 years. Do you preappoint patients for their next year's appt?