WHAT YOU GET
Three things, free.
- 01
Your number. Monthly and yearly, plus how many patients a month never come in. On screen now and in your inbox.
- 02

The 30-Day Referral Show-Rate Playbook. 17 pages. Five steps in four weeks, plus two bonuses. Scripts in English and Spanish. One scorecard.
- 03
A free Referral Speed Audit. 30 minutes on your last 30 days of referrals. You leave with your real number and the first thing to fix, in writing.
PROOF
The numbers behind it
Our client. Five Florida locations. 447 referrals, January to September 2026. Counted strict: a no-show or a reschedule counts as a miss, even if the patient came in later.
show rate: 71% before, 85% now.
Our first month on the account, October 2025 (38 booked), against this year, January to September 2026 (407 booked). Nobody tracked it before that.
- REFERRAL to FIRST VISIT, MEDIAN
- 4 days to 2 days
- SEEN WITHIN 7 DAYS
- 64% to 91%
JANUARY TO SEPTEMBER 2026 · THE SAME GROUP
447of 447
Referrals contacted the same working day.
6min
Median to first contact, in working minutes.
42%
Of no-shows brought back by the follow-up (15 of 36).
Show rate = patients who kept their first appointment ÷ patients booked. Working time means Monday to Friday, 9 am to 6 pm ET. The 6-minute median counts the referrals that arrived with an exact timestamp. Workers' comp referrals are left out of the speed figures because the carrier has to authorize treatment before we can book, and referrals with no phone number because the first contact goes through the case manager, not the patient.
FOR YOU IF
- You already get referrals: from attorneys, marketers, hospitals and imaging centers.
- Some become patients. Some don't.
- You'll write down your show rate on day 0 and again on day 30.
NOT FOR YOU IF
- You're looking for more referrals. This is about the ones you already get.
- You want new software. Everything runs on a log, a phone and a calendar.
- Your patients don't come from referrals.
WHO'S WRITING THIS
My name is Nicolas Cristal, and my company runs the referrals desks for multi-location PI groups in Florida and Massachusetts: 1,000+ referrals handled and 800+ patients seen since October 2025. At $2,000 to $3,000 collected per patient, that's $1.6 to $2.4 million of treatment that started with a phone call. (An estimate from our log, not our clients' books.) The numbers in this playbook come from one of those groups, counted strict. Before this I recruited and managed a 30-person contact center team. I still work the desk to this day, so everything in here comes from this year's log, not a theory.
Get your number
Free. Three numbers, and the 17-page playbook comes with it.
