The sequence that works
Booking confirmation immediately. Reminder 48 hours out with one-tap confirm or reschedule. Reminder 2 hours out. If no confirmation by 24 hours, a call from the AI receptionist. Each step is automated; the waitlist fills any slot that opens.
Why one-tap matters
A reminder that says 'reply C to confirm' gets replies. One that says 'call us to reschedule' doesn't. Make the easy action the right action.
Waitlist backfill
When a slot opens, the next waitlisted patient gets a text offering it. First to accept gets it. Empty chairs become filled chairs without front-desk calls.
What to expect
Clinics running this sequence typically see no-show rates fall from the high teens to single digits within two months. The front desk gets hours back.