Not an EMR · Not a scribe
Your EMR runs the visit. Ayra runs everything around it: referrals, intake, the waitlist, scheduling and every family follow-up. AI agents that take action, not just take notes.
Ayra Desk · Sunrise SpeechMeet Liam
A referral arrives by fax.Someone scans it, then types every line into the system by hand. One typo, and the family is unreachable.
Read in seconds. The record fills itself, and anything missing is flagged before anyone touches it.
Half the file is missing.The front desk calls the doctor’s office, then the parent, then the doctor again. Voicemail. Notes on a sticky pad. Try again tomorrow.
Texts the parent and faxes the doctor, in the family’s language, until the file is complete.
Referrals pile up.Every one is waiting on the same front desk, with no time and no way to see which family is ready.
Every referral is sorted by readiness, not by the day it arrived. Nothing sits in a tray.
A slot opens. Who gets it?The front desk watches the calendar, picks a name, calls, books, prints consent and hopes the family remembers.
Offers the slot to the family who is ready. Consent by text. Reminders to bring the right papers.
Then, silence.No check-ins. No idea how the child is doing. Nearly half of families give up before the first visit, and the doctor’s referral is lost.
A short weekly text: how is your child, is anything new? The wait list stays real, and families stay.
The family walks in with a story nobody has read.No history. Twenty pages, or none at all. The first hour is spent catching up.
The therapist opens one page, every line sourced. The family brings what was asked for.
Ayra is the bridge.Liam and his family are fictional. Each step reflects how referrals move through children’s therapy clinics today. Videos: Pexels (George Milton, Katrin Bolovtsova, Alena Darmel, Pavel Danilyuk, MART Production, Kindel Media, Mikhail Nilov, Annushka Ahuja, Kampus Production, cottonbro studio, Ron Lach).
The numbers behind Liam
A child’s referral arrives by fax. Someone retypes it by hand. Then come the calls, the voicemails and the forms. 46 percent of referrals never become care. In Canada, the wait from family doctor to specialist is 15.3 weeks. Doctors lose 20 million hours a year to paperwork. And while families wait, nobody checks in.
The money
One speech clinic, one year
$302Kof therapy revenue walks out the door
30 referrals a month14 never become care (46%)
Illustrative math. Inputs: 46% referral loss (Becker’s), a typical 12-session block and a $150 private session in BC and Ontario. Private sessions run “hundreds of dollars” an hour (The Ubyssey, 2025).
Canada · start
≈5,000private therapy clinic businesses (physio, OT, speech, audiology)
Scott’s Directories, NAICS 621340Ontario · waiting
80,000children waiting for development and rehab services
Empowered Kids Ontario, 2021United States · next
$150Ba year lost to missed appointments; ~$200 per empty slot
HCI Innovation Group, 2017United States · referrals
$821K–971Krevenue lost per leaking referring physician, per year
Industry estimate, via BD EmersonThe lifecycle
Scroll to move through a child’s journey · tap a moment
Two apps. Five agents.
Staff use Ayra Desk and approve the agents’ work in one tap. Parents use Ayra Home: a text and one link, no account. Every agent drafts. A person always signs.
Nowby hand, by phone
With Ayraagents do the work
Intake checklist
Channels
Draft · Follow-up agent
Bonjour Émilie, ici Sunrise Speech. Pourriez-vous nous envoyer le rapport d’audition de Liam? Une photo suffit.
Hi Émilie, it’s Sunrise Speech. Could you send Liam’s hearing report? A photo is fine.
Émilie · 9:41
Voilà! Merci 🙏
audiologie_liam.jpgReady for this slot
“Tue 10:30 with Ms. Bennett. Reply YES to book.”
YES
Booked automatically. Noah’s dad got the time by text.
About 20 words, few two-word phrases. Frustrated when not understood.1, 2
Normal, both ears, October 2026.7
French at home, English at daycare. Started saying “ballon” and “encore” this week.3, 8
Two-word combinations in either language? Daycare observation notes on offer.3
Sources
Referral funnelthis month
Average waitweeks · last 12 wk
Needs attention3 of 14 waiting
The family’s side
Same child, same clinic, same nine weeks. On the left, what Émilie’s phone shows today. On the right, the same weeks with Ayra Home: one thread, in her language, that tells her where Liam is in line and asks how he is doing.
NowÉmilie’s phone today
“Your call is important to us. Please stay on the line…”
With AyraAyra Home
Sunrise Speech ⌄Hi Émilie
Liam’s speech therapy · French + English
Example family. Messages are illustrative.
Not another EMR
Jane, Cliniko and WebPT run the chart, the calendar and the bill. Ayra works before the first visit, then writes everything back. Between-visit work is on the roadmap.
Ayrabefore the first visit
Your EMRthe visit
Jane · Cliniko · WebPT
↺ Ayra writes every record back here
Laterbetween and after visits
Cliniko · calendars · Drive. Ayra writes back.
Jane · Ocean eReferral. Approved scope only.
No API? Ayra prepares it. Staff click once.
We add. We never overwrite. No scraping. No shared passwords.
Why not Jane?
EMRs start when the patient is booked. eReferral delivers the fax. US front-office AI answers the phone. Nobody owns the months in between: the missing papers, the waitlist and the family.
| Jane · ClinikoEMR + booking | OceaneReferral | Weave · Tennr · AssortUS front-office AI | Ayra | |
|---|---|---|---|---|
| Reads a new-patient referral from fax or email | Partly | Partly | Yes | Yes |
| Chases the doctor and the parent for missing papers | No | No | Partly | Yes |
| Waitlist ranked by readiness, not arrival date | Partly | No | No | Yes |
| Weekly check-ins with families while they wait | No | No | No | Yes |
| Fills a cancellation from the waitlist, by text | Partly | No | Partly | Yes |
| Family side in the family’s language, no app | Partly | No | Partly | Yes |
| Built for Canada: fax-first, provincial privacy | Yes | Yes | No | Yes |
Our reading of public product pages, October 2026. Not an endorsement or a claim about roadmaps.
01
EMRs are paid per clinician for the chart and the calendar. A referral that never books never shows up in their product, or their revenue.
02
Jane’s partner program is closed to AI scheduling “for now” and doesn’t post into calendars. The gap is protected by their own rules.
03
A waitlist tab doesn’t chase a doctor. Ayra’s agents read, text, fax, book and write back across every system the clinic already uses.
04
Ayra Home is the only product built for the parent who is waiting. Every check-in makes the waitlist more accurate, and harder to copy.
Where we stand
A map of what each product does and when, not how good it is. Most clinic software is a tool staff operate once the patient is booked. The space before the booking, worked by agents, for Canadian therapy clinics, is open.
Left to right: from the visit and billing back to the referral and the wait. Bottom to top: from a tool staff click through to an agent that does the task while staff approve.
Jane, TELUS Health EMRs, Cliniko, Halaxy, WebPT and SimplePractice: scheduling, charting and billing, from the booking on.
In the visit (AI scribes) and at the booking (Weave, Assort Health). Before the booking, Tennr does it for US practices, built around insurance.
Where Ayra standsBefore the booking, agents that draft and staff who sign, built for fax-first Canadian therapy clinics.
Referral-to-first-visit rate, time to first visit and staff hours saved.
Positions are our reading of public product pages, October 2026. They describe scope, not quality, size or traction.
Regulation
Pricing
Roadmap
One Ayra
Ayra stays the company and the brand. Ayra for Clinics is the clinician product live at meetayra.com. Ayra Therapy is the new agentic platform that runs everything around the visit. Both share one login, one patient record and one timeline.
Care, coordinated
meetayra.comLive · meetayra.com
The clinician’s workspace for the visit itself.
New · 2026
Agents for everything around the visit. Every referral becomes care.
Next · 2028
Doctors refer straight into Ayra. Clinics refer to each other.
Vision · 2030
The operating system for longitudinal care, beyond therapy.
Therapy demand is rising, and centres still coordinate it by phone and spreadsheet. AI can now take action across that work, so your team gets its day back and every referral has a path to care.
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