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12 Patients Booked. 3 Won't Attend — Costing You €1,200+ Per Week

Etisia adds SMS reminders, one-tap cancellations, and review follow-up to the Google Calendar workflow you already use.

10 Calculate Your Lost Revenue

No credit card required. Free SMS included.

Works with Google Calendar Setup takes less than 45 seconds One-tap cancellation built in Free SMS credits included
Google Calendar
TODAY
23
TOMORROW
24
09:00
Lisa Byrne (SMS sent ✅)
10:00
Eva Kelly (SMS sent ✅)
11:00
12:00
Jane Smith (SMS sent ✅)
13:00
14:00
Anna Ryan (SMS ready ✅)
Click
15:00
16:00
087 654 3210 (SMS sent ✅)
14:02
CHC
City Health ClinicToday, 14:02

The Hidden Cost of Missed Appointments in Irish Medical Practices

Irish GP surgeries and HSE-integrated clinics operate under complex funding models—GMS patients generate capitation revenue while private consultations are fee-for-service. Irish healthcare data reports no-show rates averaging 6-9% across general practice, with some Dublin and Cork practices exceeding 12%. Each missed GMS appointment represents lost time that could see another patient; each missed private consultation is lost direct revenue. A typical 3-doctor Irish practice sees 50-60 patients daily across GMS and private lists. At €80-150 per consultation (GMS capitation + private fees), missing 4-6 daily appointments costs €320-900 daily or €83,200-234,000 annually.

Irish College of General Practitioners, DPC Guidelines, HSE Performance Data 2024

No-Show Rate

6-9% GP average (Dublin/Cork: 12%+); €80-150 per missed appointment

Annual Revenue Loss

€83,200-€234,000 annually (3-doctor practice)

GDPR compliance under Irish Data Protection Commissioner (DPC) requirements makes SMS ideal: transactional healthcare messages require minimal consent overhead. Irish practices also benefit from HSE Digital system integration, enabling real-time appointment synchronization. The biggest opportunity: missed appointments delay diagnosis of serious conditions and complicate population health management across HSE networks. A surgery reducing no-shows by 50% recovers €41,600-117,000 annually while improving HSE performance metrics and patient health outcomes.

How much is an empty chair costing you?

Your average appointment

~3 no-shows per week

That's

€0

walking out your door every year.

Per month

€0

Per week

€0

Wasted hours/year

0 hrs

Etisia brings them back.

SMS reminders recover up to 90% of no-shows.

Annual savings

€0

Appointments recovered

0

Hours saved

0 hrs

Start free trial

No credit card required · 3-day free trial · Free SMS included

Why SMS Outperforms Email and Phone for Medical Appointments

GDPR compliance under DPC jurisdiction is straightforward for appointment reminders: transactional messages with consent documented at registration satisfy all requirements. Irish practices can send SMS confidently without complex consent management.

SMS integrates with HSE Digital systems, enabling real-time capacity management and population health coordination. When Irish GPs know exactly which patients are confirming or cancelling via SMS, they can manage waitlists efficiently and reduce unmet healthcare demand.

For both GMS and private patients, SMS demonstrates modern, patient-centred care that builds loyalty. Irish patients expect SMS; practices that offer it are perceived as efficient and professional. This competitive advantage also reduces churn.

How Etisia Fills Your Consultation Schedule in Less Than 45 Seconds

Patient Books—Etisia Syncs from Google Calendar

Whether booked online, by phone, or through your EHR, appointments in Google Calendar automatically trigger Etisia's webhook. Connect Google Calendar once in less than 45 seconds, and you're done.

Real-Time Reminder Sequence (48h, 24h, Morning-Of)

Etisia sends professional, secure SMS reminders at your chosen times. Patients confirm, reschedule, or don't reply. Your team sees responses instantly in the Etisia dashboard.

One-Tap Cancellation Triggers Instant Alerts

Patient clicks the cancellation link in their SMS → event deleted from Google Calendar → you get email alert within seconds → fill slot from waitlist before the doctor's day starts.

Post-Appointment Follow-Up & Compliance

Send prescription confirmations, test result notifications, or referral follow-ups via SMS. Green checkmark in calendar shows reminder status sent. Improves patient compliance and reduces missed follow-up appointments.

One change. Completely different results.

See what happens when SMS reminders handle the follow-up for you.

Without SMS reminders
  • No SMS system
  • 12% no-shows
  • Empty consultation slots
  • Clinicians underutilized
  • $350K+ annual loss + worsened patient care
With Etisia
  • SMS reminders
  • 5-6% no-shows
  • Slots filled from waitlist
  • 96%+ clinician utilization
  • $175K+ recovered annually

Proven SMS Templates That Fill Empty Chairs

These are real templates used by businesses on Etisia. Hover to preview and click to copy.

Appointment Reminder

48 hours before

Hi Angela, appointment reminder: Your consultation with Dr. Chen is Friday 14:30 at City Health Surgery. Reply CONFIRM to confirm or call (01) 482 0234 to reschedule.
Day-Before Nudge

24 hours before

Tomorrow 14:30—your appointment with Dr. Chen at City Health. Bring your medical card. Reply CONFIRM to confirm.
Morning-Of Check-in

3 hours before

Good morning Angela. Your appointment with Dr. Chen is at 14:30 today. Arrive 10 minutes early. We're looking forward to seeing you.
Post-Visit Follow-Up

4 hours after appointment

Hi Angela, thanks for visiting Dr. Chen today. Your prescription has been sent to your pharmacy. Call if you have any questions.

Your reviews on autopilot

After every appointment, Etisia automatically asks happy clients to leave a Google review. See what happens when you turn it on.

Review summary
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With EtisiaWithout asking
Google review growth after enabling EtisiaThe comparison shows steep review growth with Etisia and a flatter trend without automated review requests.Etisia activatedMonth 1Month 3Month 5Month 7Month 9Month 11HighLow
Etisia automatically sends review requests after each appointment, helping businesses grow a steadier stream of positive Google reviews.
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Discover How Your Business Can Cut No-Shows by Over 30%, Too.

Branka Pihler owns Fit Center, a beauty salon and spa in the town in central Slovenia. She knows well how clients who ghost appointments hurt a business, and she contacted us to do something about it. By setting up Etisia, Branka was able to reduce her missed appointments by 34% in just first month. During the following semester, Branka managed to book an extra 8 appointments per month, for an extra income of $3000 per year!

"I am very grateful for the web app, as we have greatly reduced missed appointments and clients are also less late for appointments, which means more money, time and less nerves spent every month. The app is super easy and worth every penny! Thank you a hundred times!"

Branka Pihler
Branka PihlerVerified purchase
Fit center
2 years ago

Simple plans for a Google Calendar-first workflow

Keep Google Calendar as the source of truth. Etisia adds reminders, review requests, and one-tap cancellations without a new booking system or workflow builder.

Starter

€24/month

(tax excl)

For solo operators who want reminder coverage fast, without rebuilding the way appointments already get booked.

  • 100 SMS messages per month
  • 1 Google Calendar
  • Automatic + instant SMS on new bookings
  • Flexible timing — from instant to 1 month ahead
  • One-tap cancel links + instant alerts
  • 25+ templates with custom fields
  • Import contacts from iOS, Android & vCard
  • Full delivery logs & tracking
Start free trial
No credit card needed. Free SMS included.

Pro

Recommended

Try free for 3 days — extra SMS on us

€39/month

(tax excl)

For busy businesses that want reminders, review requests, and smart routing included in one Google Calendar-first flow.

  • 250 SMS messages per month
  • 3 Google Calendars
  • Automatic + instant SMS on new bookings
  • Flexible timing — from instant to 1 month ahead
  • One-tap cancel links + instant alerts
  • 25+ templates with custom fields
  • Import contacts from iOS, Android & vCard
  • Full delivery logs & tracking
  • Review follow-ups where enabled
  • Smart review routing where enabled
  • Private feedback capture where enabled
Start free trial
No credit card needed. Free SMS included.

Team

€149/month

(tax excl)

For multi-calendar teams that want shared coverage, staff access, and no workflow-builder overhead.

  • 1,000 SMS messages per month
  • 5 Google Calendars
  • Automatic + instant SMS on new bookings
  • Flexible timing — from instant to 1 month ahead
  • One-tap cancel links + instant alerts
  • 25+ templates with custom fields
  • Import contacts from iOS, Android & vCard
  • Full delivery logs & tracking
  • Review follow-ups where enabled
  • Smart review routing where enabled
  • Private feedback capture where enabled
  • Staff logins & permissions
  • Shared SMS quota across the team
  • Team dashboards & performance reports
  • Priority support — we've got your back
Start free trial
No credit card needed. Free SMS included.
Etisia guarantee badge

Zero risk. Full confidence.

Start free — SMS credits included, no credit card needed.
You can request a commercial refund within 14 days if the service materially fails to function as described.
Cancel anytime. No contracts, no lock-in.

Frequently asked questions

Have a different question and can't find the answer you're looking for? Reach out to our support team by sending us an email and we'll get back to you as soon as we can.

Is SMS GDPR-compliant under Irish DPC guidance?
Yes. Appointment reminders are transactional messages compliant with GDPR and DPC requirements. Obtain opt-in consent at patient registration. Include "Reply STOP to opt out" in every message. All SMS data is encrypted.
Does Etisia integrate with HSE Digital systems?
Etisia integrates via Google Calendar or direct practice management software sync (Socrates, Accurascribe, etc.). We can pull appointment data from HSE systems if your practice uses them. Setup takes 1-2 hours.
Can I customize messages for GMS vs. private patients?
Absolutely. Create separate templates for GMS patients (referencing HSE clinic) and private patients. Personalization improves response rates and patient satisfaction.
How do I handle Irish privacy regulations?
Etisia manages GDPR compliance automatically: encrypted SMS, consent documentation, opt-out processing. You maintain audit logs in your patient records. DPC requirements are straightforward for transactional healthcare messages.
What about patients who prefer Irish language?
Etisia can support Irish-language templates. Set patient language preference in your EHR, and reminders send in Irish or English as needed. This is valuable for Irish-language communities and HSE initiatives.
Do I need to replace my booking system or force clients to use a booking link?
No. Etisia works with the way clients actually book — phone calls, texts, walk-ins, DMs — whatever. You just create the appointment in Google Calendar, and Etisia sends reminders automatically. No new dashboard. Your calendar stays the single source of truth.
How fast can I set it up — and what do I need to do for each appointment?
Setup takes less than 45 seconds. Connect Google Calendar, pick your message templates, and you're live. After that, it's "set & forget": create an event like you always do, and Etisia automatically sends SMS reminders — no extra steps.
What texts do clients receive — and will they get texted at the wrong time?
Clients receive an automated reminder before the appointment, a one-tap cancellation link (so they don't ghost), and optionally a post-appointment review prompt. Etisia won't blast people at 2 AM: reminders respect quiet hours and time zones, and late-night bookings get rescheduled to morning so clients aren't disturbed.
How does Etisia know which phone number to text?
Etisia uses smart contact matching: it reads the event title, finds the matching contact, and pulls the phone number — even if the name isn't written perfectly. You can also manage and import contacts so your list stays clean and consistent.

Free Tools & Resources

No-Show Cost Calculator

Calculate how much missed appointments cost your business

SMS Template Generator

Create professional reminder messages in 3 clicks

Compare Plans & Pricing

See all features side-by-side with full comparison

If you want to

Reduce no-shows with automated SMS reminders

Get more 5-star reviews on autopilot after every appointment

Save hours every week on manual scheduling & follow-ups

Start free trial

No credit card required. Free SMS included.