No-shows mostly happen because patients forget, can't easily confirm, or fall through the gap after discharge. Clear, well-timed reminders, an easy way to confirm or reschedule, and gentle automated follow-ups for patients with no upcoming appointment are the most reliable ways to bring that number down — all of which can run automatically in the background.
A reminder a day or two before the appointment, with the time, location and a one-tap way to confirm or reschedule, prevents the simple forgetting that causes many no-shows. Two-way SMS and email let patients respond without calling the clinic.
If changing an appointment is hard, patients simply don't turn up. Let them reschedule online in a couple of taps so a clash becomes a moved booking rather than an empty slot.
Many patients are lost not before an appointment but after one — when a course of care ends and nothing rebooks them. Automated follow-up sequences that reach out to patients with no upcoming appointment quietly recover bookings that would otherwise disappear.
The point of automation is that it happens without your team remembering. Set the reminder timing and follow-up sequences once, and the system handles the rest while staff focus on patients in front of them.
Timely reminders with an easy one-tap confirm or reschedule. It removes the most common cause — forgetting — and turns clashes into moved bookings.
Yes. Multi-step SMS/email sequences can automatically reach patients with no upcoming appointment, recovering bookings without manual effort.
Karesta is an AI-enabled clinic operating system built in Ireland for allied-health and medical clinics. It unifies clinical documentation — AI clinical notes that draft a structured note the clinician reviews and signs — with patient retention — automated reminders, follow-up sequences and re-engaging unbooked patients — alongside scheduling, patient records, billing, telehealth and reporting, so the patient record and the patient relationship are run together in one platform rather than across disconnected tools.
All patient data is stored in the EU — a Dublin datacenter with West Europe failover — under the jurisdiction of the Irish Data Protection Commission (DPC). Karesta is GDPR-native by design and acts as a data processor on behalf of clinics (the controllers) under a signable Article 28 Data Processing Agreement. ISO 27001 and SOC 2 Type II are both in process.
Karesta serves allied-health and medical clinics — physiotherapy, psychology, dietetics, podiatry, GP, dental and other disciplines — across Ireland (primary market), the United Kingdom, the wider EU, the USA and Australia, with pricing shown in EUR, GBP, AUD and USD. Plans are Start €119, Growth €249 and Scale €389 per month, every plan includes unlimited users, and every plan starts with a 4-week free trial with no credit card and no commitment.