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Case Study

How a Norwood Physio Clinic Cut No-Shows by 60% With One Automation

17 February 2026 8 min read

Case studies are only useful when the numbers are honest, so here is the full picture of a realistic Norwood physio scenario.

The clinic had four practitioners and one shared front-desk team member during weekdays. Bookings were solid, demand was healthy, but no-shows and late cancellations were creating weekly holes in the schedule.

The problem before automation

Before the build, reminder flow looked like this:

  • One generic reminder sent 24 hours before appointment
  • No clear "confirm / reschedule" action in-message
  • If a patient cancelled late, admin manually phoned waitlist patients
  • No automatic escalation for unconfirmed appointments

Over an 8-week baseline period, the clinic averaged:

  • 112 appointments per week
  • 10 no-shows or same-day late cancellations per week (about 8.9%)
  • Roughly $1,200-$1,500 in recoverable weekly revenue depending on case mix

More importantly, staff morale took a hit. Reception felt reactive all day, and clinicians had unpredictable gaps.

The goal

The clinic did not want a dozen automations. They wanted one thing: fewer empty slots with minimal workflow change.

Success metric: reduce no-shows/late cancels by at least 40% within two months.

What we built (single workflow)

We implemented one connected automation across reminders and waitlist fill:

1) Two-step reminder cadence

  • Reminder A at 48 hours with clear options: Confirm, Reschedule, or Call clinic.
  • Reminder B at 24 hours only for patients who had not confirmed.

2) Confirmation tracking

Patient responses updated appointment status automatically (confirmed/pending/reschedule request), visible to front desk in the booking system.

3) Fast reschedule path

When patients tapped "Reschedule," they received a direct booking link limited to suitable appointment types and practitioner availability.

4) Waitlist auto-fill for openings

If a cancellation occurred within 24 hours, the system sent a sequential offer message to pre-qualified waitlist patients. First patient to accept took the slot; others received automatic closure text.

Why this worked

Most no-show systems fail because they only remind. They do not remove friction.

In this case, the clinic made it easy to do the right thing quickly:

  • Confirm in one tap
  • Reschedule without phone tag
  • Fill cancelled slots without 20 manual calls

No one had to learn a new app. Staff kept their existing booking system, just with cleaner status visibility.

Results after 6 weeks

Compared with baseline:

  • No-shows/late cancels fell from 10/week to 4/week (60% reduction)
  • Weekly utilisation improved by roughly 5-6 additional attended appointments
  • Estimated recovered revenue: ~$780-$1,050 per week (conservative)
  • Reception call load for waitlist backfill dropped materially, especially Mondays and Thursdays

The clinic crossed break-even on implementation in under one month.

Operational changes the team noticed

Front desk

Instead of chasing people manually, admin handled exceptions only. That shift from "constant follow-up" to "manage the outliers" made the day calmer.

Practitioners

Less idle time between patients. Better continuity of care because fewer treatment plans were interrupted by missed sessions.

Patients

Higher satisfaction for busy professionals and parents who preferred quick text actions over calls during work hours.

What this clinic did NOT do

  • No chatbot replacing reception
  • No giant software migration
  • No complex AI diagnosis features
  • No expensive hardware changes

Just one targeted automation tied to a measurable financial and operational problem.

If you run an allied health clinic in Adelaide

Start by checking your own baseline for the last 6-8 weeks:

  • Total appointments
  • No-shows and late cancels
  • How many slots were recovered from waitlist
  • Admin time spent on reminder and fill activity

If no-shows are above ~6%, there is usually a strong business case for action. A better reminder flow plus lightweight backfill logic is often enough to move the number meaningfully.

The key lesson from this Norwood clinic is simple: you do not need "more AI." You need the right automation at the right point in the patient journey.