Free for prospects

Request a custom impact report

Share a few numbers from your practice and our team will build a personalized analysis — covering your visit patterns, missed appointment profile, and the recovery opportunity at your clinic.

Your report will cover:

Your current cancellation and no-show profile
Estimated visits recoverable per month
Benchmarks against similar-sized clinics
Authorization utilization opportunity
Potential cost savings from tech consolidation

How it works

1Fill out the form with last month's visit data
2Our team builds your report within 1 business day
3Your rep walks you through the analysis on a call

Share your practice data

Fill in what you have — we'll build the analysis and your rep will walk you through it.

About your practice

Clinic nameYour name

Your emailWe'll send your report herePhone number (optional)

FTE providersInclude PTs and PTAs. Use decimals for part-time (e.g. 8.5)Which month is this data from?Pick the most recent full month you have data for

Visit volume

These numbers come from your EMR — most practices can find them in a standard scheduling or productivity report.

Completed visits last monthVisits that were attended — not cancelled or no-show

How would you like to enter missed visits?

Cancellations last monthAppointments cancelled by the patient before the visitNo-shows last monthAppointments where the patient didn't show up without cancelling

Cancellation outreach

How many cancellations does your front desk manually fill per month? (optional)This helps us model how much incremental capacity Penciled adds on top of your existing process

Deeper metrics

These fields unlock additional rows in your analysis. Fill in what you have — leave anything blank.

Avg visits per case / dischargeHow many visits does a typical patient complete before discharge? PT benchmark is 10–12Initial evaluations last monthNew patient first visits — how many first evals did you complete last month?

Avg authorized visits per plan of careWhat does a typical insurance authorization allow?

Plan of care standards

Your practice's standard prescribed POC — not patient outcomes data.

Prescribed visits per weekHow many visits per week do you typically prescribe? (e.g. 2x/week)Typical plan of care length (weeks)How many weeks is a standard POC at your practice?

How do you schedule cases?If insurance authorizes more visits than originally prescribed, do you schedule those additional visits?

Current tech stack

If you use any of the following, we can calculate what you'd save by consolidating onto Penciled.

WebPT reminders included in your plan (per month)Leave blank if you don't know or aren't on a reminder planWebPT overage cost per reminder ($)Per-message cost beyond your included amount

Monthly cost of standalone SMS / messaging platform ($)e.g. Klara, Podium, Relatient — leave blank if none

Your data is confidential. Numbers are shared only with your Penciled rep and used solely for report generation.

Questions? Email us at support@penciled.com