Free tool · Nerela

How much are missed appointments really costing your practice?

A missed appointment isn't just an awkward gap in your day — it's a slot that doesn't come back, and for the patient, a break in continuity of care. In private practice the cost adds up quietly, session by session, until you actually run the numbers. Enter your own figures below and see, in seconds, what no-shows are costing your practice every month and every year — then download a personalised PDF.

Your practice, in numbers

Adjust the sliders. Your results update automatically as you go.

Set this to whatever you actually charge for a session — the calculation below updates instantly.
The average number of sessions you actually run in a normal week.
The share of booked appointments where the patient doesn't turn up, with no notice.
📉 Reminders measurably cut no-shows. A controlled trial in mental health settings (Kaiser Permanente) found an 11% drop in no-shows from a single extra reminder text. In South Africa, WhatsApp in particular tends to get read and confirmed faster than email or SMS.Source: The Permanente Journal, 2022
After holidays and time off.

What this is costing you

Estimate based on the numbers you entered.

Estimated annual cost of missed appointments
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Sessions missed per week
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Working weeks lost per year
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worth of empty chairs, added up

What you could do about it

Download your PDF report

We'll put together a short report with your own numbers and what closing this gap could be worth over a year. Enter your email to download it.

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Nerela closes this gap on its own, every week

Automatic reminders by email and WhatsApp the day before, a public booking page that fills gaps at 11pm on a Sunday, and no-shows valued in rand every month in Reports — so you're never guessing what an empty chair is worth. A handful of avoided no-shows a month already covers most of the Professional plan.

Want the strategies behind the numbers? Read how to reduce no-shows in a therapy practice or see how the software options for psychologists in South Africa compare.