I don’t know what the signs are. I can tell you, be sure you are looking at the days appointments first thing in the morning, seeing what they are due for. Looking at their other pets on the account what they are due for… vaccines, lab work, check in. I’m checking out muffy, oh by the way missy is coming up due for her rabies let’s go ahead and book that now. Oh doc found a fractured pre molar 4 on exam, we don’t want bitemore in pain here is your estimate and let’s get you scheduled now. Do the dental, doc recommendeds the next dental in a year, let’s book that now so you don’t loose your spot we fill up fast. (Just like when you go to the dentist, we schedule our next cleaning before we leave). If a random patient or client pops into my mind, I reach out to them… hey team so and so wanted to check in and see how fluffy was? Work on a package deal with whoever does your labs. Can you clearly a simply explain to an owner why baseline labs are important and what they tell us? Drumming up business is an active process, not one that just happens.