New prescription
Asks for the treatment type, number of sessions, issue date and frequency, and books the whole series on fixed weekdays.
Appointment series in the calendar, SMS
Your hands stay on the patient.
Marie answers the phone.
from €99
per month
24/7
available, even on Sunday evenings
Human
no robot voice
Weekly schedule · Room 2
20-minute slots

Marie asks: PT, 6 sessions, issued on Sep 21, not urgent, no home visit. Start by Oct 19 at the latest.





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Three real test calls: a new prescription with a full appointment series, a cancellation for tomorrow and a massage without a prescription. Pick a call and play it. On the right you see what ends up ready in your calendar and practice software afterwards.
The recording is in German; the transcript is translated.
Press play and the transcript follows along live.
Play a patient who is sick and has to cancel tomorrow's appointment, or a new patient with a fresh prescription. After you enter your details the call starts right away, and you also see the number. Two minutes on the phone tell you more than any feature list.
From the physio.de forum and the German Remedies Directive (Heilmittel-Richtlinie), with sources. On the right you see what Marie changes about it.
Every hand is on a patient and the front desk is empty. Callers get the answering machine or simply ring the next practice.
“constant ringing of the phone”, “Phone calls are a huge time sink”
Remedy
Marie answers every call, even several at once, and books appointments straight into your calendar.
For a series, appointments are arranged one by one, moved and rebooked. Every time, the phone rings.
“Some patients need around 10 appointments until they get through their 6-session prescription”
Remedy
Marie asks for the number of sessions and the frequency and books the whole series in one call, on fixed weekdays.
Anyone who cancels on a Sunday evening talks to the tape. On Monday morning someone listens to it, reschedules and calls back.
“Rebooking appointments, rescheduling... is an absolute time killer”
Remedy
Marie takes the cancellation right away, cancels the appointment in the calendar and books a replacement straight away.
If the first appointment comes too late or the break between two sessions is too long, the prescription loses its validity.
Treatment must begin within 28 calendar days of the prescription. If treatment is interrupted for more than 14 days without justification, the prescription loses its validity.
Remedy
Marie asks for the issue date of every prescription and offers replacement appointments within 14 days when someone cancels.
Marie recognizes from the first sentence what the call is about and handles the case according to your practice rules. Under each case you can see where the result lands.
Asks for the treatment type, number of sessions, issue date and frequency, and books the whole series on fixed weekdays.
Appointment series in the calendar, SMS
Takes the new prescription and continues the series at the usual times so there is no gap.
Calendar, note to the therapist
Cancels without asking for a reason and offers a replacement appointment within 14 days.
Calendar, open slot for the waiting list
Checks whether a home visit is stated on the prescription and records the address and preferred time for route planning.
Home visit schedule
Quotes your prices for massage, physiotherapy or manual therapy and books directly.
Calendar, SMS
Anyone who cannot get an appointment goes on the list with their time window and prescription date. When a slot opens up, Marie calls.
Waiting list, outbound call
Answers questions about co-payment, what to bring and directions herself. For everything else she sets up a callback with the practice manager.
Callback for the front desk
No diagnosis over the phone. In case of acute danger Marie refers to 112, otherwise to 116 117 (German medical on-call service).
Immediate advice, note
Marie works with the systems your practice already uses: practice software, online appointment booking, billing and your team's tools. She knows the patient and the series and books every appointment where your team plans.
Recognizing patients
Before Marie even says “Good day”, she uses the phone number to check whether the caller is already a patient and which series is currently running.
→ GET /patients?phone=…
← Existing patient, physio series running
Knowing the prescription and calendar
Marie sees how many sessions are still open, when the next appointment is and which times are free with which therapist.
→ GET /appointments?patient=…
← 3 of 6 open, next Thu 5:30 pm
Booking the series
The whole appointment series lands in your calendar and the patient gets all appointments by SMS. Cancelled slots open up and go to the waiting list.
→ POST /appointments/series
← 6 appointments, Tue and Thu 5:30 pm
Practice software
Patients, prescriptions, appointment schedule
THEORGOnline appointments
Bookings, cancellations, reminders
CalendlyBilling and accounting
Billing prescriptions, booking payments
Calendar, team and automation
Booking appointments, informing the team
Outlook
And your own software
If your practice software has an interface, we connect Marie directly. If it does not, as with STARKE Praxis or Optica, appointments land in your online calendar and everything else arrives neatly sorted by email. With n8n, Make or Zapier we link several systems in one workflow, for example booking an appointment and notifying the therapist in Teams at the same time.
Listed are systems with a documented or officially offered interface; for THEORG, the THEDEX partner interface. Brand names belong to their respective owners. We set up the integration for your setup during the needs analysis.
A new prescription is not just a request for an appointment. Set the date it was issued and see by when treatment must begin and what Marie does with that on the phone.
The prescription
Set what it says on the paper. Today is Tue, Nov 10, 2026.
Urgent treatment need ticked
Then 14 instead of 28 calendar days apply.
Treatment must begin by Thu, Nov 26, 2026 at the latest
28 calendar days from issue.
How Marie says it on the phone
“Your prescription was issued on Oct 29. Treatment should begin by Nov 26, so that works well. I'll look for a first appointment in the next few days.”
Interruption of the series
Limit: 14 days
6 days without treatment: not critical. Marie secures the next appointment.
Section 15 HeilM-RL, start of treatment
“Treatment must begin within 28 calendar days of the prescription.” In case of urgent treatment need, “within 14 calendar days at the latest”. Otherwise the prescription loses its validity.
Section 16(4) HeilM-RL, interruption
“If treatment is interrupted for more than 14 calendar days without adequate justification, the prescription loses its validity.”
Source: German Remedies Directive (Heilmittel-Richtlinie, HeilM-RL) of the Federal Joint Committee (G-BA), last amended October 29, 2024, in force since January 1, 2025, Sections 15 and 16. Worked example, not legal advice; day 0 is the day of issue. Whether a prescription is still valid in an individual case is decided by your team, not Marie.
If you treat in 20-minute slots, you cannot also be on the phone. So the answering machine kicks in, and in the evening the callback list is waiting. Switch over and see the same day with Marie.
And instead of a new announcement for your answering machine, you get a voice that actually gets things done.
4 resolved, 3 as a case in the system
Cancellation, fever, appointment at 10:20 am
Appointment cancelled, replacement booked for Friday, the gap goes to the waiting list.
New patient with a physio prescription
Prescription issued 23 days ago, deadline in 5 days recognized, appointment booked for the day after tomorrow.
Daughter requests a home visit for her mother
Home visit is stated on the prescription, care home and ward recorded, case created for home visit planning.
Doctor's office with a query
Case for the treating therapist, with the request and direct extension.
Self-pay patient wants a massage without a prescription
Preferred time Thursday evening booked, price quoted from your stored price list.
Call in English, rescheduling an appointment
Marie switches to English and moves the appointment to Monday.
“Is my prescription still valid?”
General rule explained, the individual case is in the system as a case with a callback request.
Example day, made up from typical calls at a physiotherapy practice. The striped line stands for your treatments in 20-minute slots, from 8:00 am to 7:00 pm.
In the forum, one practice owner writes: “Use the waiting list, see who fits time-wise and call.” Another replies: “Call through regularly? I wouldn't have the time!” Marie takes over exactly that part.
Slot opened up
Monday · Room 2
10:20 am
Gap, PT or MT
Monday, 7:10 am: cancellation for today at 10:20 am. The slot is free.
Waiting list, with consent to be called
Ms. K. · PT · afternoons only
Deadline in 18 days
Ms. B. · PT · mornings
Deadline in 24 days
Mr. S. · PT · flexible
Deadline in 9 days
Mr. Y. · MT · mornings
Deadline in 16 days
Example flow. Quotes: physio.de forum, thread “Work: waiting list”, August 2025.
Marie calls the day before. Whoever confirms, shows up. Whoever cancels frees the slot for the waiting list before it goes empty.
“6 out of 8 patients did not show up: overslept, forgot, wasted time.” physio.de forum, 2026
Shortly before the last session of a series, Marie reminds the patient to ask the doctor in time and pencils in the usual appointments. Whether treatment continues is the doctor's decision.
“Calling after 2 weeks because the prescription has expired.” physio.de forum, 2025
Anyone who cancelled and has no new appointment gets a call before 14 days without treatment pass.
“Patient doesn't call back when they got an earlier appointment.” physio.de forum, 2025
Whatever could not be handled directly over the weekend, Marie calls back on Monday morning, instead of the front desk working through the list by phone.
“Calling EVERYONE back from the answering machine.” physio.de forum, 2025
Only with consent. Marie calls patients who are in treatment with you or who agreed to be called when they were added to the waiting list. Advertising calls to consumers without prior explicit consent are not permitted under Section 7 of the German Unfair Competition Act (UWG), and Marie does not make them.
No industry percentages, no promised fill rate. Set how many short-notice cancellations you have and how many of them are already refilled today.
All starting values are placeholders, not industry figures. We did not find a reliable nationwide no-show rate for physiotherapy practices, so the calculator only works with your values.
One week of cancellations
Filled: refilled. Dashed: stays empty.
322
empty appointments per year
€9,660
payment that never comes in
Home visit
Under Section 11(1) of the German Remedies Directive (Heilmittel-Richtlinie), a home visit can only be prescribed if the patient cannot come to the practice for medical reasons or the home visit is medically essential. That is why Marie first asks whether it is stated on the prescription.
Self-pay
Anyone who wants to book a massage or a self-pay service does not need questions about issue date and deadline. Marie recognizes this, records the service and preferred time and only quotes prices if you have stored them. Otherwise there is a callback.
of practices offer self-pay services, up from 78.6% the year before.
Industry report Physiotherapy 2026, ETL ADVISION and Verlag für Prävention & Gesundheit, cited from IWW Praxis Perspektiven, July 22, 2026.
Marie does not replace anyone at the front desk. She takes the phone off your team's hands when everyone is treating patients, and covers the times when nobody is there. The same applies to occupational therapy and speech therapy.
Shortage score of the German Federal Employment Agency, scale up to 3.0
German Federal Employment Agency, “Blickpunkt Arbeitsmarkt, Fachkräfteengpassanalyse 2025” (labor market focus, skilled labor shortage analysis), May 2026, cited from physio.de, September 17, 2026.
is the median time it takes to fill an open position in physiotherapy.
German Federal Employment Agency (BA), Skilled Labor Shortage Analysis 2025, via physio.de, September 17, 2026
physiotherapists work in Germany, 145,000 full-time equivalents.
German Federal Statistical Office, Health Personnel Accounts, 2023, via Physio Deutschland
prescription forms for physiotherapy were billed by German statutory health insurance in 2023, covering 262 million treatment units.
GKV Remedies Information System (GKV-HIS), 2023, via Physio Deutschland
out of 157 shortage occupations, with a shortage score of 2.8 on a scale up to 3.
German Federal Employment Agency (BA), Skilled Labor Shortage Analysis 2025
Anyone who calls a physiotherapy practice quickly says more than necessary. That is why it is clearly defined what Marie asks, what she stores and what she does not do.
It belongs to the special categories of personal data and may only be processed under the exceptions in paragraph 2, such as for healthcare. Marie therefore only asks what the appointment needs: service, prescription details, preferred time. No medical history over the phone.
As a member of a healthcare profession you may disclose secrets to contributing service providers where this is necessary for their work, provided they are bound to secrecy. How this is arranged contractually for your practice, we clarify in the needs analysis.
The data is stored on servers in Frankfurt and stays in the EU. We sign a data processing agreement with your practice.
Calls are only recorded with consent. Without consent, only the structured request is kept.
Since August 2, 2026, people must be told when they are speaking with an AI system. Marie says so right at the start.
No diagnoses, no exercise recommendations, no assessment of whether a prescription is valid in an individual case. In an emergency she refers to 112 and to 116 117 (German medical on-call service).
Legal basis: Regulation (EU) 2016/679 (GDPR), Art. 9 and 28; Section 203(1), (3) and (4) German Criminal Code (StGB); Section 201 StGB; Regulation (EU) 2024/1689 (EU AI Act), Art. 50, applicable since August 2, 2026. Not legal advice.
It is not either-or: most practices need their front desk. The question is who picks up when the receptionist is busy at the desk or has already gone home.
Receptionist as an approximation: the Entgeltatlas has no separate occupation “physiotherapy reception”. We used medical assistant (KldB 81102), skilled worker, full-time, Germany, median €3,329 gross per month (lower quartile €2,824, upper quartile €3,868), Entgeltatlas of the German Federal Employment Agency, retrieved September 29, 2026. Employer contributions come on top.
An AI phone assistant is a voice AI that answers calls on your practice's number and clarifies the request in conversation. Some call it an AI receptionist or AI answering machine. The difference from a classic answering machine: Marie asks follow-up questions, books appointments, takes cancellations directly and puts finished cases straight into your team's system, via interface or email, instead of voice messages. She can also make calls herself, for example when a slot opens up.
There are specialized providers for medical and therapy practices and general platforms like ScaleTalk that are set up for a practice. For physiotherapy, watch for three things: Does the assistant know the deadlines of the German Remedies Directive (Heilmittel-Richtlinie), does it handle home visits and self-pay patients properly, and can it also make outbound calls, for example for the waiting list. The quickest way to check is a test call.
In the physio.de forum the same words come up again and again: the constant ringing of the phone, phone calls as a time sink, rebooking and rescheduling appointments as a time killer. On top of that comes the skilled labor shortage. The German Federal Employment Agency ranks physiotherapy at the very top of shortage occupations, with a shortage score of 2.8 out of 3.0.
Under Section 15 of the German Remedies Directive (Heilmittel-Richtlinie), treatment must begin within 28 calendar days of the prescription. If urgent treatment need is stated, within 14 calendar days at the latest. Otherwise the prescription loses its validity. That is why Marie asks for the issue date first on every new prescription.
If urgent treatment need is stated on the prescription, treatment must begin within 14 calendar days at the latest instead of 28. For the practice this means such calls need an appointment quickly. Marie checks the box and marks the shorter deadline for your team and on the waiting list.
Under Section 16(4) of the German Remedies Directive (Heilmittel-Richtlinie): if treatment is interrupted for more than 14 calendar days without adequate justification, the prescription loses its validity. Marie can call patients who cancelled and have no new appointment yet before this limit is reached.
For patients, the most honest help is a waiting list where the practice really calls back. That is often exactly where it fails, because nobody has time to phone around. With Marie, every caller who cannot get an appointment goes on the list with their time window and prescription date, and when someone cancels she calls the matching patients one after another.
From your patients' point of view: yes, and with Marie even on a Sunday evening. She takes the cancellation, offers a replacement appointment right away and states your no-show policy matter-of-factly, without blame. Whether to charge a cancellation fee remains your practice's decision.
ScaleTalk starts at €99 per month. The exact price depends on your practice's call volume, which we work out together in the needs analysis.
No. Everything runs through call forwarding on your existing number. You decide whether Marie always picks up, only when nobody answers at the front desk, or only outside opening hours. You can switch the forwarding off again at any time.
Yes, and that is mandatory. Since August 2, 2026, Article 50 of the EU AI Act requires that people are told when they are speaking with an AI system. Marie says so at the start. Anyone who prefers to speak with a human is transferred if someone is free, or gets a callback.
Yes. Many practice programs such as STARKE Praxis or Optica have no open interface. In that case Marie works as a structured front desk: cancellations, new prescriptions and callback requests reach your team neatly sorted by email, and she books appointments directly into your online calendar, for example eTermin, samedi, Google or Outlook. With THEORG it works via the partner interface, with tinana via the open interface. Which route fits, we clarify in the needs analysis.
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Next step
30 minutes: which calls end up on the answering machine today, how your waiting list works, which rules Marie needs to know and what this costs for your practice.