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When I set appointments the last thing I do is ask them if they have a pen and paper. I then have them write down my name my number and the date and time. I then ask them if there is any reason they might not be able to keep the appointment. I then instruct them to call me if they can't make it, so we can re-schedule.
About a third of the time I will be on the way to an early 10am appointment and they will call and cancel. I don't even answer the cell phone. I go right to their home and pretend I never got the call. .
Thats when your acting will come in to play. I act a little dejected, then I perk up a little and say something like. You sure you can't spare me 15 minutes? Your here, I am here and I got your policy right here; touching my briefcase. More often than not you will get in.
As far as no shows, they are part of the business but you can keep them to a minimum by asking them to write it down. I never call to confirm an appointment unless it is late in the day and you have to drive 30 or 40 miles from where you are and only then if I have had a good day already. If its been a bad day I will make the drive. I always want to at lest scratch the pad.