Reduce no-shows in clinics

Reduce no-shows in your clinic without hiring more reception

No-shows are a clinic's quietest loss. Every empty slot is one hour of doctor, room and team time that does not bill. In a clinical group of 10 sites, Kura cut no-shows from 12% to 1% in three months. Achieving it does not mean calling more, it means turning every reminder into an actionable WhatsApp conversation.

See how it works

Reminders the patient actually opens

WhatsApp gets read. SMS and email do not. The gap shows up in response rates and on-time confirmations.

Confirm, change or cancel with one tap

The patient decides without calling. Every action updates the schedule without reception touching it.

Recovered slots with no extra effort

When a patient cancels, the agent offers the slot to waiting patients and closes the booking through chat.

Real metrics every month

No-shows avoided, slots recovered and revenue saved. No spreadsheet required.

12% → 1%

Drop in no-shows at a clinical group after 3 months with Kura

+5%

Revenue increase attributable to the no-show reduction

30 min

Average time to fill a cancelled slot without calls

How much does a no-show really cost

Let's put numbers on it. A clinic with 200 visits per week and a 10% no-show rate loses 20 visits. If the average consultation bills 60 euros, that's 1,200 euros per week, almost 5,000 per month. The math gets worse when you include rooms, equipment and idle doctor time. The good news: the loss is highly reversible if you change the reminder channel.

Why SMS and email no longer work

SMS is saturated with promotions and phishing. Email lands in spam or secondary tabs. WhatsApp is the channel the patient opens without thinking. In practice, a WhatsApp reminder gets three times the response of an SMS one.

  • Visual opening in 30 seconds for most patients.
  • Actionable reply: confirm, reschedule, cancel.
  • Async conversation, no line to wait on, no office hours.
  • Native multilingual support in Spanish, Catalan, English, French and German.

From passive reminders to actionable conversations

A traditional reminder informs. One with AI behind it turns the notice into a patient decision. If they confirm, the slot is sealed. If they want a change, the agent proposes compatible slots with their doctor and site. If they cancel, the agent captures the reason and triggers slot recovery. Every reply moves the operation forward without reception picking up a phone.

Automatic recovery of cancelled slots

When a patient cancels, the agent identifies candidates to fill the slot from the waiting list and from patients with pending follow-up. It offers them the time over WhatsApp and, if they accept, closes the booking and updates the system. In a clinical group of 10 sites, this flow fills a cancelled slot in around 30 minutes.

Reactivation of patients who stopped coming

Next quarter's no-shows can be prevented today by reaching out to patients who have not visited the clinic this year. Kura segments inactive patients by history and sends carefully toned messages, letting the patient book a new appointment without going through reception.

How we measure the return on reducing no-shows

Before kickoff we agree on the metrics that matter to your operation: no-show rate by site and specialty, confirmation rate, recovered slots, average time to fill a slot and revenue recovered. Kura reports every month without the team generating manual reports.

Use cases by specialty

Operations change with the type of clinic. These are the flows with the biggest impact for each profile.

Dental clinics

Recall reminders, treatment confirmations, treatment plans signed over chat, and recovery of patients who never finished their plan.

Aesthetic medicine

Lead capture from ads, prequalification, follow-up session scheduling, and seasonal package promotion.

Physiotherapy and rehabilitation

Multi-session series, daily reminders when needed, exercise follow-up, and clean closure when the patient finishes.

Veterinary

Vaccination notices, recall reminders, pet pick-ups, and proactive messages when the next dose is due.

Psychology and mental health

Discreet confirmations, cancellations with notice, between-session follow-up, and routing to the professional when needed.

Multispecialty medical centres

Routing by specialty, location and priority. Every conversation lands at the right team without passing through reception three times.

Frequently asked questions

How much can no-shows actually drop?

It depends on the starting point. For clinics moving from SMS or email, the typical drop is between 20% and 40% in the first months. There are groups where the improvement has been much deeper: going from 12% to 1% in three months is possible when the flows are well integrated with the schedule.

Do I need to change my practice management software?

No. Kura connects to your current PMS or scheduling software. The conversational layer sits on top of the system the clinic already uses, without replacing it.

Does the patient need to install anything?

No. They reply through WhatsApp like any other conversation. The clinic's number stays the official one, through the WhatsApp Business API.

How is a cancelled slot filled?

The agent identifies waiting-list patients or those with pending follow-up that match, offers them the slot over WhatsApp and, if they accept, closes the booking and updates the calendar.

What if the patient prefers SMS or email?

The system respects the preferred channel. Patients who stay on SMS or email keep their reminders, while the rest migrate to WhatsApp with no friction.

Is it GDPR compliant?

Yes. Data on European Union infrastructure, data processor agreement and role and site-based permissions.

How long until the return shows up?

The first month already shows changes in confirmation rate. The sustained drop in no-shows and the schedule improvement consolidate between the second and third month, when there is enough data to optimise the flows.

Estimate how many no-shows you could avoid

With your average appointments per week and your typical fee, we show you a realistic estimate of no-shows avoided and revenue recovered. All it costs is a demo.

Thanks.

We've got your request. We'll write to you shortly.

Book a free demo