What Your Front Desk Says When They Do Not Know the Answer
A patient leans on the desk and says, quietly, “Do you think this will actually help my. back?”
Your receptionist is kind. She wants to help. And in that moment she has two options,
and only one of them is safe.
This is the part of front desk work nobody trains for, and it is the part that carries real
risk for your practice.Why it happens? Patients ask reception the questions they are too embarrassed to ask you.
They have waited two weeks for the appointment. They are anxious. And the person at
the desk feels approachable in a way that a practitioner in a treatment room does not.
So they ask. About their condition, about whether the treatment works, about what their
scan meant.
A kind receptionist wants to reassure them. And that instinct, left untrained, is exactly
where the problem starts. What untrained kindness sounds like?
“Oh yes, we get a lot of people with that, it usually helps.”
“I think that’s what the doctor meant, yes.” “Let me have a quick look at your notes.”
None of that comes from a bad person. All of it comes from someone trying to be
helpful. And all of it is a problem, because it is clinical advice given by someone who is
not qualified to give it, sometimes in front of other patients.
What trained kindness sounds like?
The words matter, and they can be learned. This is what I teach, almost word for word:
“I’m not a practitioner so I can’t advise you on that. But I’d be happy to book you in so
you can ask directly.” “I understand your concern. Let’s make sure you get the chance to speak to the doctor about it properly.”
The tone is warm. The boundary is absolute. The patient does not feel dismissed,
because they have been offered something better than a guess.
The part most practices get wrong... It is not about being cold.
Reception staff often think the choice is between being helpful and being professional,
so they choose helpful, because they care. The truth is that the boundary is the helpful
thing. A guess at the desk can send a patient home reassured about something that needed attention, or worried about something that did not. I once watched a patient interrupt a receptionist who was trying to explain his own report back to him. He said, “I’ve already had my report of findings. I know what my problem is. Please just book me in.”
She was trying to help. He found it patronising. And she had no idea, because nobody
had ever told her where her role ended.
Three things worth checking in your own practice
One. Does your front desk know what to say when they do not know the answer? Not in
principle. The actual words.
Two. Do they ever open a patient folder to answer a question? That is clinical
information and it has already been explained by you.
Three. Would they tell a patient over the phone whether you can treat their condition?
That decision belongs after an assessment, not before one.
If you are unsure of any of those answers, that is not a failing on their part.
Nobody taught them.
Where this comes from? I started at the front desk in a chiropractic practice, and I have spent years since then training people to work there. The scripts above are from my own course, and they are
what I use when I prepare someone before they start in a practice.
That is the difference between introducing a candidate and preparing one. If that would
be useful to you, speak to us.




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