If you work for yourself, a no-show is not a lost slot — it is an hour of your day you cannot sell, spent waiting. That makes confirmation the single highest-value message in the practice, and it is worth being slightly firmer about it than a bigger business would be.
Confirm in a way that makes cancelling easy
Counter-intuitively, making it easy to cancel reduces no-shows. People who cannot face telling you simply do not turn up; people given a one-letter reply will use it, and you get the hour back with enough notice to fill it.
export const massage = { confirm: (c: Ctx) => `${c.name} here — you're booked for ${c.dayDate} at ${c.time}. ` + `Reply C to confirm, or R if you need to move it. ` + `Plenty of notice is fine, I'd just rather know.`, dayBefore: (c: Ctx) => `Looking forward to seeing you tomorrow at ${c.time}. ` + `${c.parkingNote}`, rebook: (c: Ctx) => `Hope you're feeling looser. You mentioned ${c.issue} — ` + `worth another session in about ${c.weeks} weeks if it's still tight. ` + `Want me to pencil something in?`,};Referencing what they came in with is what makes the rebook work
'You mentioned your left shoulder' is the whole difference between a follow-up and a marketing text. You already have the information; putting one clause of it in the message turns a generic ask into evidence you were paying attention.
A cancellation policy you can actually enforce
Most solo therapists have a policy and never apply it, because the conversation is unpleasant. A thread makes it enforceable without confrontation: the policy was stated in writing at booking, and the reminder repeats it.
- State it at booking, once, plainly. Not in the small print of a website nobody read.
- Repeat it in the day-before message. That is the moment it matters.
- Apply it consistently or drop it. A policy enforced on some clients and not others is worse than none.
- Waive it out loud when you choose to. 'Not charging you for this one' buys more goodwill than never having a policy.
For the clinical-adjacent side — treatment plans, home exercises, when not to advise by text — see chiropractors and physio.
Next step
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