“Same-day appointments.” “No wait.” “Now accepting new patients.” These are among the shortest lines in practice marketing, and they do real work: a patient with a toothache, a sore back or a new insurance card picks the practice that says it can see them. That is also why they need care. An availability claim is a statement of fact about your schedule. When the schedule stops matching the ad, the ad becomes untrue, even if nobody changed a word.
This guide covers availability claims in ads, on your website and on listings: same-day and next-day visits, wait times, walk-ins, after-hours and weekend hours, and whether you take new patients. Keeping insurance and network status accurate is covered in our guide to insurance accepted pages and provider directories. Posted emergency department wait times are covered in our guide to ER wait time advertising.
This is general information, not legal advice. Sources cited were checked on October 30, 2026: 15 U.S.C. 45, 52 and 55, 45 CFR 156.230, 42 CFR 438.10, 42 U.S.C. 300gg-139, the Google Ads Misrepresentation policy and the Google Business Profile guidelines. State advertising and licensing rules differ, so check yours, and have a health care attorney review claims that carry legal risk.
Why availability is a factual claim
Section 5 of the FTC Act, 15 U.S.C. 45(a)(1), declares unfair or deceptive acts or practices in or affecting commerce unlawful. Section 12, 15 U.S.C. 52, makes it unlawful to disseminate a false advertisement that is likely to induce the purchase of food, drugs, devices, services or cosmetics. Health care services fall inside that list.
The definition of a false advertisement in 15 U.S.C. 55(a)(1) matters here. It is an advertisement that is misleading in a material respect. In deciding whether an ad misleads, the statute says to take into account not only what the ad states or suggests, but also the extent to which it fails to reveal facts that are material in light of what it does say.
Two points follow for availability claims:
- What the ad suggests counts. “Same-day appointments” suggests a patient who calls today can be seen today. If that is true only for existing patients, only before 10 a.m., or only at one of three locations, the ad suggests more than the practice delivers.
- Leaving out the condition counts too. Under 55(a)(1), failing to reveal a material fact can make an ad misleading. A limit that decides whether a patient can actually get the visit is the kind of fact that belongs next to the claim.
Availability is also time sensitive. A claim that was true when the campaign launched can become untrue a month later when a provider leaves or the panel fills. The ad does not need to change to become misleading. The schedule does.
The claims and what each one promises
Read each claim the way a patient would, then check it against the schedule.
- “Same-day appointments.” A patient reads this as: if I call today, I can be seen today. Ask who it applies to (new patients, existing patients or both), for which visit types, at which locations, and what happens after a cutoff time.
- “Next-day” or “within 48 hours.” A specific time window is a measurable promise. Keep the scheduling data that shows how you meet it.
- “No wait” or “no waiting room.” This is a claim about time spent after arrival. A practice that runs behind on busy days cannot make it as a flat statement.
- “Walk-ins welcome.” This tells a patient they can arrive without an appointment and be seen. State the hours when walk-ins are taken and whether a walk-in can be turned away when the schedule is full.
- “Open evenings and weekends.” List the actual days and hours, and keep them the same on the website, the Business Profile and any ad extensions.
- “24/7.” Separate what is available around the clock (an answering service, a nurse line, online booking requests) from what is not (a clinician visit). A booking form that works at 2 a.m. is not a visit at 2 a.m.
- “Now accepting new patients.” This is a yes or no fact, and it can differ by provider, by location and by insurance plan. If one physician is closed to new patients and another is open, a practice-wide claim needs that detail.
Accepting new patients: health plans publish it too
Whether you are taking new patients is not only a marketing line. Federal rules require health plans to show it in their provider directories, which means patients may see your status in a plan directory as well as on your website.
- Exchange plans. Under 45 CFR 156.230(c), a qualified health plan issuer must identify providers that are not accepting new patients, and for plan years beginning on or after January 1, 2016, must publish an up-to-date, accurate and complete provider directory that includes which providers are accepting new patients.
- Medicaid managed care. Under 42 CFR 438.10(h)(1)(vi), the provider directory of a managed care plan must include whether the provider will accept new enrollees. Under 438.10(h)(3)(ii), an electronic directory must be updated no later than 30 calendar days after the plan receives updated provider information.
These duties fall on the plans, not on the practice. In practice, though, the plans get the information from you. On the provider side, 42 U.S.C. 300gg-139, added by the No Surprises Act and in effect since January 1, 2022, requires providers and facilities to have business processes for giving directory information to group health plans and issuers, including when there are material changes to that information. The statute defines provider directory information to include names, addresses, specialty, telephone numbers and digital contact information. It does not list new patient status in that definition, but the plan rules above do ask for it, so it makes sense to report it with the rest.
The result: if your website says “accepting new patients” and a plan directory says you are not, one of them is wrong, and the patient has no way to know which. Our guide to insurance accepted pages and provider directories covers the directory update process in full.
Google Ads: unavailable offers
Google’s Misrepresentation policy for ads lists unavailable offers as a policy area. It says promising products, services or promotional offers in the ad that are unavailable or are not easily found from the destination is not allowed.
For a practice, that means an ad that promises same-day visits should lead to a page where a patient can see how to get one. If the landing page says the next new patient opening is in three weeks, or the online scheduler shows nothing for today, the ad promises something the destination does not offer. The same policy also lists unreliable claims, described as inaccurate claims or claims that entice the user with an improbable result as the likely outcome.
Practical steps:
- Pause or edit availability ads and ad assets when the schedule fills, instead of letting them run until the next monthly review.
- Use ad schedules so “call now, open today” ads run only during hours when someone answers and the claim holds.
- Send availability ads to a page that repeats the claim with its conditions and shows how to book, not to the home page.
- Keep callout and structured snippet assets in the same review as the main ad text, since they make claims too.
For campaign setup by specialty, see our guides to Google Ads for dentists and healthcare landing pages.
Google Business Profile: hours and staffing
Google’s guidelines for representing your business on Google ask businesses to provide their regular customer-facing hours of operation. Special hours can be set for particular days, such as holidays or special events. The guidelines also say that certain businesses should not provide hours, including those that operate only by appointment.
Points that matter for practices:
- Customer-facing hours. List the hours patients can be seen or reach the front desk, not the hours staff are in the building for admin work.
- Special hours. Set holiday closures and short days in advance. A profile showing “Open” on a day the office is closed is an availability claim that is wrong.
- Staffed location. For service-area setups, the guidelines say a location should be staffed and able to receive customers during its stated hours.
- Business name. The guidelines list business hours information, such as “Open 24 hours”, as something not to include in the business name, and say unnecessary information in the name is not permitted and could result in suspension. Keep availability phrases out of the name field.
More on profile setup is in our guide to Google Business Profile for doctors.
Keeping the website, profile, plan listings and ads in sync
An availability claim can appear in a dozen places at once. When one of them changes, the rest need to follow. A simple register prevents the gap.
- List each place a claim appears. Website header, home page, location pages, provider bios, Business Profile hours and attributes, ad text and assets, social bios, on-hold message, voicemail greeting and printed materials.
- Write down the claim and its conditions. For example: same-day sick visits, existing patients, weekdays before noon, main location only.
- Name a person responsible. Each claim has one owner who updates all places when the fact changes.
- Set triggers, not only review dates. A provider leaving, a panel closing, a holiday, a new location or a change to hours triggers an update the same day.
- Tell the plans. When new patient status or contact details change, send the update to each plan you contract with and keep a dated record.
- Check from the patient side. Once a month, look at your listings and ads as a patient would, and try to book a same-day or new patient visit through the channel you advertise.
Phone scripts belong in the register too. If the website says “accepting new patients” and the front desk says the panel is closed, the patient hears two answers. Our new patient phone script guide covers what staff say on the call, and our guide to practice change announcements covers telling patients when hours or providers change.
Wording that stays true
The safest availability claims state what you do, with the condition next to it, in words that stay true on a busy day.
- Use: “Same-day sick visits for existing patients when you call before noon.” Avoid: “Same-day appointments, no exceptions.”
- Use: “New patient visits available this month. Call to check the next opening.” Avoid: “Seen today, no matter what.”
- Use: “Dr. [Name] is accepting new patients. Dr. [Name] is not taking new patients at this time.” Avoid: “All our doctors are accepting new patients” when one is not.
- Use: “Walk-ins taken Monday to Friday, 8 a.m. to 4 p.m., as the schedule allows.” Avoid: “Walk in anytime.”
- Use: “Online booking requests 24/7. We confirm by phone during office hours.” Avoid: “Open 24/7.”
- Use: “Evening hours Tuesday and Thursday until 7 p.m.” Avoid: “Open late.”
The examples above are written for illustration. The pattern is the point: put the condition in the same sentence as the claim, and avoid absolutes such as “no exceptions”, “anytime” or “no matter what” unless the schedule truly delivers them.
When the claim should come down
Remove or edit an availability claim the same day any of these happen:
- The next opening for the advertised visit type is later than the claim says.
- A provider named in the claim leaves, goes on leave or closes their panel.
- Hours change, for a season or for good.
- A location in the claim closes or stops offering the service.
- You stop taking a plan that the ad or page links to the claim.
If the change is temporary, say so on the site: “We are not taking new patients until [month]. Join the waitlist.” A short, honest note keeps the trust that the original claim earned.
An illustration
This example is invented. [Practice name], a family medicine practice with two locations, runs a search ad that says “Same-day appointments. New patients welcome.” In the spring, one physician retires. The second location stops taking new patients, and same-day visits are held for existing patients.
Nothing in the ad changed, but now two parts of it mislead a new patient who searches near the second location. The Business Profile for that location still says “accepting new patients” in its description, and one health plan directory still lists the retired physician.
The fix uses the register. The owner of the claim updates the ad to run only for the first location, changes the second location page to “Not taking new patients at this time. Join the waitlist.”, edits the profile description, sends the provider change to each contracted plan with a dated record, and updates the phone script the same day.
Checklist
- Each availability claim is listed in one register, with its conditions and an owner.
- Conditions such as patient type, cutoff time and location appear next to the claim.
- New patient status is stated by provider and location where it differs.
- Business Profile hours and special hours match the website.
- Ads with availability claims land on a page that repeats the claim and shows how to book.
- Ad schedules match the hours when the claim holds.
- Plans receive updates when new patient status, providers or contact details change.
- Phone scripts and voicemail say the same thing as the website.
- Someone books a test visit through the advertised channel once a month.
How we help
We build websites, local search, Google Ads and lead generation and AI front desk tools for independent practices and health businesses. For availability claims, that means location pages and ads that state conditions next to the claim, ad schedules that match your hours, Business Profile hours kept in step with the site, and a front desk tool that gives callers the same answer the website does. Our tools are built with HIPAA in mind. We confirm in writing what a BAA covers before any patient information flows through a tool, and if it is not covered, we do not route patient information through it. We are not a healthcare provider and we do not give legal or medical advice. For the wider rules, see our healthcare marketing rules hub.
Can a practice advertise same-day appointments?
Yes, if it can deliver them as stated. Under 15 U.S.C. 55(a)(1), an ad can mislead through what it suggests and through material facts it leaves out, so put conditions such as patient type, cutoff time and location next to the claim.
Who has to keep “accepting new patients” accurate in plan directories?
The plan publishes it. 45 CFR 156.230 requires exchange plan directories to show which providers are accepting new patients, and 42 CFR 438.10(h) requires Medicaid managed care directories to show it. Plans rely on practices to send changes, and 42 U.S.C. 300gg-139 requires providers to have processes for sending directory information when it changes.
What if my Google ad says same-day but the scheduler is full?
Google’s Misrepresentation policy does not allow ads that promise services that are unavailable or not easily found from the destination. Pause or edit the ad when the schedule fills, and use ad schedules so it runs only when the claim holds.
Should a by-appointment practice list hours on its Business Profile?
Google’s guidelines say businesses that operate only by appointment should not provide hours. A practice with set customer-facing hours, such as front desk hours, lists those and sets special hours for holidays.
Is “no wait” allowed?
Only if it is true on busy days as well as quiet ones. Use a measurable, conditional statement instead, such as the hours when walk-ins are taken, and keep the claim off ads when the schedule runs behind.
Sources
- 15 U.S.C. 45: Unfair methods of competition and unfair or deceptive acts or practices
- 15 U.S.C. 52: Dissemination of false advertisements
- 15 U.S.C. 55: Additional definitions (false advertisement)
- 45 CFR 156.230: Network adequacy standards (provider directory)
- 42 CFR 438.10: Information requirements (Medicaid managed care provider directory)
- 42 U.S.C. 300gg-139: Provider requirements to protect patients and improve the accuracy of provider directory information
- Google Advertising Policies Help: Misrepresentation
- Google Business Profile Help: Guidelines for representing your business on Google