
GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Therapist Scheduling Software of 2026
Ranking roundup of therapist scheduling software for practices, with editor notes and tradeoffs across top tools like Acuity Scheduling and Calendly.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
Gitnux may earn a commission through links on this page — this does not influence rankings. Editorial policy
Acuity Scheduling is the best fit if your therapists need reliable self-scheduling with intake forms and API-driven automation that keeps clinician availability controlled, whereas Counsol.com is the smarter pick for counselor practices that want consistent booking policies with audit trails and low-overlap scheduling.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Acuity Scheduling
Webhook-ready scheduling events combined with an API that supports programmatic appointment creation and updates.
Built for fits when therapist practices need self-scheduling plus API-driven automation with controlled clinician availability..
Calendly
Editor pickMulti-availability and appointment-type configuration reduces manual scheduling for multiple clinicians on one booking flow.
Built for fits when practices want therapist availability rules and automated confirmations without heavy custom development..
Counsol.com
Editor pickEvent audit logging for scheduling actions links who changed what and when for accountability.
Built for fits when practices need consistent booking policies, audit trails, and low-overlap scheduling..
Comparison Table
Acuity Scheduling
SMBOnline appointment scheduling with intake forms and payments.
Webhook-ready scheduling events combined with an API that supports programmatic appointment creation and updates.
Acuity Scheduling centers on therapist scheduling workflows with configurable appointment durations, session type catalog entries, and per-provider availability settings that prevent invalid overlaps. Client booking can be gated by intake forms and automated consent capture steps before the visit flow continues. The platform also manages appointment status lifecycle actions like cancellation and rescheduling through rules applied to booking state.
A key tradeoff is that deeper EHR integration and PHI-adjacent workflows depend on external connectors or custom integration work rather than a built-in bidirectional messaging engine. Acuity fits best when a therapy practice needs consistent self-scheduling and reminders while keeping clinician availability logic in one controlled configuration.
- +Configurable clinician availability and appointment duration rules reduce booking errors
- +API supports appointment operations and event webhooks for connected systems
- +Intake forms run inside the booking flow before confirmation
- +Cancellation and reschedule actions follow appointment status rules
- –EHR bidirectional sync depth often requires external integration effort
- –Multi-team governance needs careful role and permission design
- –Complex referral routing may require custom logic beyond built-in routing
- –Some advanced workflow automation needs API or integrations
Solo therapist and small clinics
Client self-scheduling with intake forms
Fewer back-and-forth confirmations
Group practices
Provider-specific availability and overlaps control
Clean calendar capacity
Show 2 more scenarios
Practice ops teams
Automated reminders and reschedule policy
Lower no-show rate
Reminder messages and rescheduling actions follow appointment status lifecycle rules inside one workflow.
Integrations engineers
Sync scheduling events into other systems
Near real-time scheduling updates
API and webhooks send appointment changes to downstream case management or analytics workflows.
Best for: Fits when therapist practices need self-scheduling plus API-driven automation with controlled clinician availability.
Calendly
SMBAutomated appointment scheduling for individuals and teams.
Multi-availability and appointment-type configuration reduces manual scheduling for multiple clinicians on one booking flow.
Calendly is built around appointment types that can map to specific durations and required participant details, which helps standardize a therapist scheduling experience across multiple clinicians. Booking pages can be routed to the right availability set, and confirmation emails include calendar event details plus reschedule and cancellation links. The product supports meeting link generation for video sessions and can push updates when appointments change.
A key tradeoff is that deep EHR scheduling sync is not its core center of gravity, so PHI handling and bidirectional status lifecycles depend on how the surrounding practice stack integrates. Calendly fits best when a practice needs fast rollout of therapist-specific availability rules and automated reminders without building custom workflow logic.
- +Appointment types enforce duration and buffer rules to limit scheduling conflicts
- +Branded booking pages streamline scheduling for patients and referrals
- +Video meeting links are created automatically for each scheduled session
- +Event-based updates trigger external automation for reminders and notifications
- –EHR bidirectional scheduling sync and PHI governance depend on external integrations
- –Complex routing logic can require multiple configurations across providers
- –Group therapy workflows need careful setup to match therapist capacity needs
- –Waitlist and advanced queue management require add-on workflow design
Solo and small practices
Standardize intake and session scheduling
Fewer scheduling mistakes
Multi-clinician clinics
Route patients to the right therapist
Reduced back-and-forth
Show 2 more scenarios
Telehealth programs
Generate and update video links
Lower no-show friction
Create meeting links per booking and send updates when reschedules occur.
Ops teams using automation
Trigger reminders from booking events
More consistent outreach
Connect scheduling events to notification and follow-up automations in external systems.
Best for: Fits when practices want therapist availability rules and automated confirmations without heavy custom development.
Counsol.com
vertical specialistOnline scheduling and practice management for counselors.
Event audit logging for scheduling actions links who changed what and when for accountability.
Counsol.com is built around an appointment booking workflow that ties session types and durations to specific clinician availability windows. Scheduling controls cover double-booking prevention and the appointment status lifecycle across booking, cancellation, and reschedule actions. Confirmation messaging and consent-related pre-visit steps can be attached to appointment events to reduce manual follow-up.
A tradeoff appears in the need to configure service catalogs and clinician rule sets before the workflow behaves correctly. Counsol.com fits best when a practice can standardize session types, durations, and booking policies so automation can enforce them consistently.
- +Rules-driven clinician availability reduces invalid appointment creation
- +Appointment status lifecycle keeps cancellation and reschedule flows consistent
- +Audit trails record scheduling event changes for accountability
- +Session types and duration mapping reduce admin cleanup
- –Initial configuration is required for session catalogs and clinician rule sets
- –EHR sync capabilities are limited by integration availability for each target system
- –Advanced workflows require process documentation for scheduling policies
- –Waitlist and referral scheduling coverage may not match every clinic workflow
Solo practices
Manage therapist calendars and durations
Fewer manual scheduling corrections
Small group practices
Prevent clinician double-booking
Reduced scheduling conflicts
Show 2 more scenarios
Operations and admin staff
Standardize cancellation and reschedule handling
Cleaner patient communication
Appointment status transitions follow configured policies and messaging triggers.
Clinics with compliance needs
Track scheduling changes
Stronger internal accountability
Audit logs capture scheduling event changes tied to user actions.
Best for: Fits when practices need consistent booking policies, audit trails, and low-overlap scheduling.
Practice Better
SMBPractice Better includes appointment booking, client intake, secure messaging, programs, and telehealth features.
Rule-driven appointment workflow that binds session types and durations to clinician availability to prevent inconsistent bookings.
Practice Better is a therapist scheduling and practice management system built around guided appointment workflows for clinics and solo clinicians.
Scheduling focuses on clinician availability rules, session type and duration mapping, and a clear appointment status lifecycle with cancellation and reschedule handling.
The system supports automated patient communications and integrates scheduling events with surrounding practice data so intake and pre-visit steps align to the booked appointment.
Admin controls cover clinician and team assignment logic plus reporting on scheduling activity.
- +Appointment workflow enforces session duration and clinician availability rules
- +Appointment status lifecycle supports cancellations and reschedules without manual reconciliation
- +Automated reminders reduce no-shows and appointment follow-up workload
- +Care team and provider assignment logic supports multi-clinician practices
- –Advanced booking scenarios require deliberate configuration to avoid workflow gaps
- –EHR sync depth depends on integration coverage for the target environment
- –Complex group therapy scheduling may need additional operational process
- –Calendar interoperability can be limited when practices need high-fidelity sync
Best for: Fits when clinics need rule-driven booking plus clear appointment lifecycle handling across multiple therapists.
Valant
enterpriseValant delivers behavioral health EHR, scheduling, patient engagement, billing, and reporting capabilities.
Referral-intake to appointment routing ties incoming requests to booked visit workflow with stateful scheduling transitions.
Valant coordinates therapist appointment booking inside a practice management workflow, including clinician availability rules and session-based appointment settings. The scheduling experience supports appointment status changes tied to the care process, plus referral-intake scheduling that routes requests into booked visits.
Valant’s integration work emphasizes bidirectional EHR scheduling sync patterns, including HL7 messaging and FHIR appointment exchange use cases. Admin control centers on staff permissions and audit visibility for scheduling events that touch protected health information.
- +Session type catalog maps directly to appointment duration and scheduling rules
- +Referral intake scheduling moves requests into booked appointments with clear state tracking
- +EHR synchronization supports HL7 and FHIR appointment exchange patterns for continuity
- +Scheduling event audit trail supports governance for PHI-touching changes
- –Clinician availability logic requires careful configuration to avoid unintended gaps
- –Waitlist queue management depth can feel limited for high-volume practices
- –Telehealth link automation depends on connected video and workflow settings
- –Group therapy scheduling rules need extra attention when durations vary
Best for: Fits when mid-size behavioral health practices need referral routing and EHR-synced scheduling with strong scheduling audit visibility.
Owl Practice
vertical specialistOwl Practice provides scheduling, clinical records, billing, secure messaging, and telehealth for therapists.
Waitlist queue management that promotes cancellations into the next eligible slot by session rules.
Owl Practice is a therapist scheduling system built around appointment booking workflows and clinic-friendly calendar control. The scheduler supports clinician availability rules, appointment duration mapping, and double-booking detection to keep booking states consistent.
It also includes waitlist queue management and automated reminder communications tied to appointment status. Owl Practice fits teams that need appointment logistics without shifting all operational work into a separate practice management system.
- +Availability rules reduce manual overrides when session windows change
- +Double-booking detection blocks conflicts across clinicians and calendars
- +Waitlist queue flows handle cancellations without ad hoc outreach
- +Appointment status driven reminders align messages with real booking state
- –EHR sync and standards support are limited compared with heavier practice systems
- –Advanced governance like granular RBAC and audit log depth needs scrutiny
- –Group therapy scheduling requires more manual setup than one-to-one booking
- –Telehealth link generation depends on external video workflow decisions
Best for: Fits when a small therapy team needs controlled scheduling, waitlists, and status-based reminders.
TherapyNotes
vertical specialistTherapyNotes combines therapist scheduling, clinical notes, billing, and client portal functions.
Scheduling status and session records stay linked during reschedule and cancellation workflows, keeping client-facing history consistent.
TherapyNotes pairs therapist-centric scheduling with practice management workflows, so appointment booking stays connected to documentation tasks.
The appointment booking workflow supports clinician availability rules, session types, and duration mapping to reduce manual overrides.
Cancellation and reschedule steps run inside the same system that tracks client and session history, which helps keep scheduling status consistent.
Automated reminders and telehealth-ready appointment details support day-to-day throughput without needing separate tools.
- +Clinician availability rules and session durations reduce scheduling guesswork
- +Appointment changes update the same scheduling records used for client sessions
- +Automated reminders support no-show reduction without manual outreach
- +Telehealth appointment details stay attached to the booked visit
- –EHR sync requires careful configuration for bidirectional appointment updates
- –Group session workflows need deliberate setup of session types and calendars
- –Waitlist queue management is less flexible than spreadsheet-led practices
- –Scheduling views can feel limited when managing multi-clinician coverage
Best for: Fits when a therapy practice wants scheduling tightly connected to sessions, reminders, and telehealth details.
IntakeQ
SMBIntakeQ combines online booking, intake forms, consent collection, payments, and client communication.
IntakeQ ties intake completion to appointment booking so clinicians get ready-to-schedule context automatically.
IntakeQ is a therapist scheduling software focused on intake-first appointment workflows rather than calendar-only booking. It supports session types with duration mapping and clinician availability rules so booking respects therapist constraints.
IntakeQ also covers pre-visit intake forms and patient confirmations that flow into the appointment booking workflow. Scheduling events can be tracked and managed through appointment lifecycle states for reschedule and cancellation handling.
- +Intake forms connect directly to the appointment booking workflow
- +Session types carry duration mapping to reduce scheduling mismatches
- +Clinician availability rules prevent appointments outside therapist windows
- +Appointment lifecycle states support consistent cancellation and reschedule handling
- –Advanced EHR sync and bidirectional scheduling integration needs separate setup
- –Group therapy scheduling rules are limited for complex multi-provider sessions
Best for: Fits when intake forms and scheduling must stay aligned before every first visit appointment.
Tebra
SMBTebra combines healthcare scheduling, patient engagement, billing, documentation, and practice administration.
EHR bidirectional scheduling sync that keeps appointment status and timestamps aligned across scheduling and record systems.
Tebra manages therapist appointment booking workflows from availability rules through session confirmation. The system supports clinician scheduling, session types with duration mapping, and appointment status changes for cancellations and reschedules.
Tebra also connects scheduling with care operations by coordinating intake steps and reminders tied to visit lifecycle. EHR connectivity options matter for bidirectional scheduling sync and protected health information handling in day-to-day practice workflows.
- +Appointment booking workflow supports availability constraints and session duration mapping
- +Appointment lifecycle tracks status changes for cancellation and reschedule events
- +Intake and reminders align scheduling steps with pre-visit workflow
- +Calendar interoperability supports common formats for clinician and practice scheduling
- –Complex clinician availability rules take careful setup to prevent unwanted conflicts
- –Waitlist behavior can be less tailored than teams needing advanced queue automation
- –Extending booking flows beyond standard intake steps may require implementation support
- –PHI-adjacent integrations can add governance work across scheduling and messaging
Best for: Fits when practices need clinician appointment booking with structured session types and lifecycle controls.
Nookal
SMBNookal manages healthcare appointments, provider calendars, reminders, patient records, billing, and reporting.
Intake forms and consent workflows connect directly into the appointment booking pipeline.
Nookal is a therapist scheduling system aimed at practices that need appointment booking plus forms-driven pre-visit workflows. Scheduling is organized around appointment requests, clinician availability, and automated confirmations that keep the booking pipeline moving.
Intake forms and consent capture run ahead of sessions to reduce manual back-and-forth. The product is also built to connect scheduling with external workflows like telehealth links and data sync needs.
- +Pre-visit intake and consent workflows reduce therapist admin work
- +Clinician availability rules support predictable booking boundaries
- +Appointment request handling supports controlled booking rather than ad hoc slots
- +Cancellation and reschedule flows are contained within the scheduling workflow
- –EHR sync depth can be limited outside specific integration patterns
- –Automation depends on configuration choices across forms and session types
- –Group therapy scheduling edge cases may require extra operational steps
- –Audit coverage for every scheduling status change needs careful validation
Best for: Fits when a therapy practice wants intake plus consent to run before sessions.
Conclusion
After evaluating 10 healthcare medicine, Acuity Scheduling stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right therapist scheduling software
Therapist scheduling software controls how sessions are booked, how clinicians become available, and how appointment lifecycle events like cancellation and reschedule propagate to the right records. This guide covers Acuity Scheduling, Calendly, Counsol, Practice Better, Valant, Owl Practice, TherapyNotes, IntakeQ, Tebra, and Nookal so practices can compare workflow behavior across distinct scheduling models.
Across these tools, integration depth varies from Acuity Scheduling’s API and webhook-ready appointment operations to Calendly’s multi-availability configuration that still relies on external integrations for bidirectional EHR sync and PHI governance. The next sections focus on what those mechanics change for real booking throughput, referral handoffs, waitlists, and auditability.
Therapist scheduling software that enforces appointment rules, availability, and workflow state
Therapist scheduling software runs the appointment booking workflow by mapping appointment types to clinician availability rules and session duration settings, then applying those constraints during scheduling actions. Tools like Acuity Scheduling support API-driven appointment creation and updates with event webhooks that connected systems can consume to keep external automation in sync.
Many scheduling platforms also manage the appointment status lifecycle so cancellations and reschedules remain consistent across the scheduling workflow, which helps when session records must stay aligned with booking changes. Practice Better emphasizes a rule-driven appointment workflow that binds session types and durations to clinician availability so inconsistent bookings are blocked at the source.
Therapist scheduling software features that determine booking accuracy and workflow control
Scheduling software affects patient experience and internal cleanup work because it enforces appointment-type rules, clinician availability rules, and the appointment status lifecycle during booking, cancellation, and reschedule. Tools in this list differ most when connected systems rely on scheduling events to keep records aligned, or when practices need rule-driven routing across multiple therapists and session types.
API and webhook automation for appointment operations
Acuity Scheduling supports programmatic appointment creation and updates with webhook-ready scheduling events for connected system workflows. Calendly can automate confirmations from configured appointment types, but bidirectional EHR sync and PHI governance depend on external integrations.
Clinician availability rules and duration mapping
Calendly uses multi-availability and appointment-type configuration to reduce manual scheduling conflicts across clinicians. Practice Better binds session types and durations to clinician availability in a rule-driven workflow that blocks inconsistent bookings.
Appointment workflow state and status lifecycle consistency
Counsol keeps appointment status and reschedule and cancellation flows consistent with an appointment status lifecycle plus event audit logging. Practice Better also maintains appointment status lifecycle handling so cancellations and reschedules do not require manual reconciliation.
Audit trail for scheduling actions and accountable changes
Counsol provides event audit logging for scheduling actions so practices can see who changed what and when. Acuity Scheduling focuses on operational automation and webhooks, while Counsol emphasizes scheduling governance traceability for accountability.
Referral intake to booked appointment routing
Valant ties referral-intake state transitions into booked appointments with routing that keeps request handling aligned to scheduling. Valant also uses a session type catalog that maps directly to appointment duration and scheduling rules for fewer handoff mismatches.
Waitlist queue management and conflict prevention
Owl Practice manages a waitlist queue that promotes cancellations into the next eligible slot based on session rules and includes double-booking detection. TherapyNotes focuses on keeping scheduling status linked to session records during changes, while Owl Practice prioritizes waitlist advancement mechanics.
How to choose therapist scheduling software by workflow model and integration control
A good fit depends on whether the practice needs self-scheduling with configuration-heavy availability rules or API-driven automation that pushes scheduling changes into external systems. Another fork comes from how the scheduling layer ties into session artifacts and referral workflows, because the appointment status lifecycle and event history determine how much staff cleanup work remains after reschedules and cancellations.
Choose between API and webhook-first automation or configuration-first scheduling pages
If external systems must create or update appointments programmatically, Acuity Scheduling supports API-driven appointment operations plus event webhooks that connected systems can consume. If the main goal is therapist availability rules and automated confirmations from booking pages, Calendly uses appointment-type configuration and multi-availability without requiring custom development for the core booking flow.
Test session duration mapping against clinician availability rules in real scenarios
Practice Better ties session types and durations to clinician availability rules so workflow enforcement happens during booking. Calendly also enforces appointment types with duration and buffer rules to limit conflicts, so the test should include back-to-back bookings and therapist coverage changes.
Validate appointment status lifecycle behavior for cancellation and reschedule workflows
Counsol and Practice Better both handle appointment status lifecycle to keep cancellation and reschedule flows consistent, so the test should include rescheduling across therapists and session types. TherapyNotes keeps scheduling status and session records linked during reschedule and cancellation workflows, which matters when the same client-facing history must stay coherent.
Confirm governance needs with an audit trail before selecting the scheduling layer
Counsol is built around event audit logging that links who changed what and when for scheduling accountability. Acuity Scheduling also supports automation hooks, so governance evaluation should include role-based operational responsibility and change traceability for scheduling events.
Match referral and intake workflows to the scheduling state machine
Valant ties referral intake to appointment routing with stateful scheduling transitions, so the test should run a full referral to booked appointment path through the scheduling workflow. IntakeQ ties intake completion to appointment booking so clinicians receive ready-to-schedule context before first visits, which is different from routing-centric referral pipelines.
Who benefits from therapist scheduling software built around rule enforcement and workflow state
Therapist scheduling software fits practices where appointment booking cannot rely on manual coordination because clinician availability rules, session duration mapping, and cancellation and reschedule behaviors must stay consistent. Teams also benefit when the scheduling system keeps a clear workflow state, because referral intake, waitlists, and session-linked records require predictable transitions.
Behavioral health practices routing many incoming referrals
Valant supports referral-intake to appointment routing with stateful scheduling transitions and a session type catalog that maps to appointment duration rules.
Multi-therapist clinics minimizing double-bookings and rework
Calendly and Practice Better both enforce clinician availability rules with appointment type configuration so scheduling conflicts are blocked during booking instead of after the fact.
Therapy teams that need accountable scheduling changes
Counsol’s event audit logging records who changed what and when for scheduling actions, which helps when multiple staff members update booking details.
Clinics managing cancellations with waitlist promotion
Owl Practice promotes cancellations into the next eligible waitlist slot based on session rules and uses double-booking detection to stop conflicts across clinicians and calendars.
Practices that bind scheduling status to session history
TherapyNotes keeps scheduling status and session records linked during reschedule and cancellation workflows so client-facing history remains consistent across changes.
Common therapist scheduling software pitfalls during configuration and rollout
Most scheduling failures show up when rule configuration does not match real session workflows, or when connected systems depend on scheduling events that the implementation does not fully cover. Another frequent issue appears when teams underestimate how much setup is needed for session catalogs, clinician rule sets, and advanced booking scenarios that span multiple therapists and session types.
Treating cancellation and reschedule flows as an email-only workflow
Counsol and Practice Better both emphasize appointment status lifecycle handling, so rollout should include reschedules across therapists and verify the appointment state transitions match session expectations.
Skipping governance review for scheduling change accountability
Counsol’s event audit logging is designed to show who changed what and when, so governance evaluation should include an audit trail walkthrough before staff expands who can edit scheduling details.
Configuring clinician availability rules without testing session duration and buffer conflicts
Calendly’s appointment types and duration and buffer rules reduce conflicts, while Practice Better binds session types and durations to clinician availability, so tests should include back-to-back bookings and near-boundary start times.
Assuming external EHR bidirectional sync works the same across tools
Acuity Scheduling’s API and webhook-ready operations help automation, but EHR bidirectional sync depth often requires external integration effort, so teams should validate the specific target EHR sync path during implementation planning.
Under-scoping waitlist and queue behavior for high-volume cancellation patterns
Owl Practice includes waitlist queue management that promotes cancellations by session rules, while Valant can feel limited on waitlist queue management depth, so cancellation volume should drive the queue requirements assessment.
How We Selected and Ranked These Tools
We evaluated therapist scheduling software by feature coverage for rule enforcement, appointment workflow state handling, and automation surfaces that affect booking throughput. We weighted features at 40% and then weighted ease and value each at 30% based on how directly the scheduling model supports appointment creation, updates, and lifecycle behaviors.
We prioritized integration depth signals where the scheduling layer exposes programmatic appointment operations and event delivery, because Acuity Scheduling’s API plus webhook-ready scheduling events allow connected systems to stay aligned without manual re-entry. We ranked Acuity Scheduling highest because its standout combination of API-driven appointment operations with event webhooks supports both self-scheduling and connected-system automation while also pairing with configurable clinician availability and appointment duration rules.
Frequently Asked Questions About therapist scheduling software
How do Acuity Scheduling and Calendly prevent double-booking in therapist appointment booking?
What API capabilities differ between Acuity Scheduling and Valant for programmatic appointment changes?
Which tool ties booking changes to an auditable record of who changed what?
How does IntakeQ connect intake form completion to the appointment booking workflow?
Which product supports bidirectional EHR scheduling sync using HL7 messaging or FHIR appointment resources?
How do cancellations and reschedules stay consistent across session history in TherapyNotes compared with simpler booking flows?
What does RBAC and security look like for scheduling administration in Counsol.com and Valant?
How do waitlists differ from appointment requests in Owl Practice versus Nookal?
Which tool is designed for connecting telehealth appointment details to booking, and how is that handled?
What configuration differences matter when scheduling multiple clinicians and session types across a practice?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
- Healthcare MedicineTop 10 Best Therapist Practice Management Software of 2026
- Healthcare MedicineTop 10 Best Physical Therapy Scheduling Software of 2026
- Healthcare MedicineTop 10 Best Mental Health Therapist Billing Software of 2026
- Healthcare MedicineTop 10 Best Therapist Notes Software of 2026
- Healthcare MedicineTop 10 Best Doctors Office Scheduling Software of 2026
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