In February 2025, the Collège des médecins du Québec published its figures on missed appointments: more than 400,000 medical appointments missed every year in Quebec, out of roughly 18 million scheduled. Among family physicians alone, about 30,000 appointments are missed each month.
The Collège is not asking patients to do better. It is asking for a simple way to cancel or reschedule an appointment — and in private clinics, it places that responsibility on the owners. In other words, the regulator itself describes the service to put in place.
Those figures are from February 2025 and give the scale of the problem in Quebec, not the scale of yours. You already have your own number: take the empty slots in a normal week and what one appointment is worth to you. If an appointment is worth $150 at your clinic, multiply the two and you have the amount at stake every week.
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It is not one task, it is five. We put them in place one at a time, starting with the one that hurts most.
The patient gets a confirmation when the appointment is booked, then a reminder before the date, by text or email. Confirming, cancelling or asking to reschedule takes one action. That is exactly the simple way out the Collège is asking for.
A cancellation frees a slot. Patients on the waitlist who match that slot are contacted in the order you set, and sending stops as soon as someone accepts. The slot fills without anyone picking up the phone.
A follow-up message after the visit: instructions, next step, an invitation to reply if something feels off. Replies that call for clinical judgment are routed to the right person, never handled by the AI.
Patients due back in six months or a year are reminded at the right time, with the reason for the visit. It is the task that gets pushed aside on a full day, and the one that fills the agenda in slow weeks.
Unpaid balances, claims to complete, missing documents: the reminder goes out with the amount and what to do next. Escalation to someone at the clinic follows the rules you set.
The five numbers below belong to a plausible clinic, not to yours. Replace them with your own figures: the picture is redrawn with every keystroke.
One calculation convention, stated plainly: a month counts 4.3 weeks. Every other number is one you entered above — nothing is assumed elsewhere.
Based on your numbers, here is the order of magnitude
Slots left empty per month
51.6 slots
12 slots per week × 4.3 weeks per month = 51.6 slots per month
Revenue those slots represent
$7,740 per month
51.6 slots × $150 per appointment = $7,740
Hours per month spent on follow-ups
11.5 hours
40 follow-ups per week × 4.3 weeks × 4 minutes ÷ 60 = 11.5 hours per month
What that time costs
$322 per month
11.5 hours × $28 per hour = $322
What the current situation costs you, per month
$8,062
$7,740 of empty slots + $322 of follow-up time = $8,062
Filling every slot is not the point: filling only some of them already changes the picture. Out of the 51.6 slots left empty this month, each one taken back is worth $150 at your clinic, and every follow-up you no longer do by hand takes time out of the 11.5 hours above.
These amounts are an estimate computed on the numbers you just entered. It is not a guaranteed result, and we are not announcing any amount recovered: the calculation describes the current situation as you described it.
The calculation stays in your browser: nothing is sent, nothing is stored, nothing is measured.
Calling is the shortest path. By form or by email, we reply within 1 business day. The audit takes 30 minutes and commits you to nothing.
Here is how a day runs once the system is in place. Every step is labelled: done by the AI, or kept by your team.
Reminders for tomorrow’s appointments go out by text and email. Confirmations that come back are written to the schedule.
The receptionist opens a short list: only ambiguous replies and reschedule requests outside your rules are waiting on a decision.
A patient cancels. Waitlist patients who match the slot are contacted in the planned order; the first to accept gets it, the others get a closing note.
Yesterday’s post-visit follow-ups go out. Replies that mention a symptom are flagged and handed to the clinician.
The owner reviews the day: reminders sent, confirmations, slots refilled, balances chased. A rule gets adjusted if needed.
Clinics in Quebec often work with Dentitek, ClearDent, Medfar/MYLE, Omnimed or Progitek.
A connection is generally possible as soon as your software offers a connection interface; we verify this during the audit. We promise no integration before that check. If there is no interface, we look at exports, dropped files and assisted entry, and we tell you plainly what that changes for the project.
An appointment reminder carries health information. Here is what matters, in plain language. This is not legal advice: your own legal counsel stays your reference.
Your clinic’s professional order may add requirements of its own, on top of the law. We account for that during scoping.
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Data is hosted in Canada. When we hand over the system, you receive its Law 25 file: privacy impact assessment, processing register, list of subcontractors and the hosting region of every supplier.
Price range
CA$4,000 to CA$25,000
Timeline
First process in production in 2 to 6 weeks
A project runs between CA$4,000 and CA$25,000. Simple reminders by text and email, with one-tap confirmation: low end of the range. Several systems connected — clinic software, waitlist, billing: high end.
The first process is in production in 2 to 6 weeks. We put one in place first, then add the others.
Reminders and follow-ups go out by text and email. If your real problem is the phone ringing with nobody to answer — booking by phone, the lunch-hour rush, evening calls — that is a different job, and it has its own site.
Visit zenicall.caYes, and that is the heart of it: the reminder message carries a simple way to confirm, cancel or ask to reschedule. That is precisely what the Collège des médecins du Québec called for in February 2025. The cancellation rules stay yours: minimum notice, accepted reasons, fees if you charge any.
Both, depending on what the patient agreed to. Text is usually read faster; email can carry a document or a form. The channel and the send time are settings, not a technical constraint.
A connection is generally possible as soon as your software offers a connection interface; we verify this during the audit. We promise no integration before that check. If there is no interface, we look at exports and files, and we tell you plainly what that changes for the project.
The system is built for it: clear consent, data hosted in Canada, a privacy impact assessment, a processing register and a list of subcontractors handed over at delivery. The clinic stays responsible for its policy and its designated person in charge; we provide what you need to keep both current.
The first process is in production in 2 to 6 weeks. The result is measured on your own numbers: empty slots per week before, empty slots after, and slots refilled from the waitlist.
No. Messages follow templates you approve. Anything outside the frame — a clinical question, a complaint, a delicate situation — is handed to someone at the clinic. Every send is written to the log.
The pages on this site that go with this one:
The free AI audit takes 30 minutes. We look at your week, your empty slots and your software, and we tell you what to automate first and what it costs. No commitment.
Calling is the shortest path. By form or by email, we reply within 1 business day. The audit takes 30 minutes and commits you to nothing.