Appointments from your web-based EMR aren't appearing in i-consult. The single most common cause is that **i-scribe isn't open in the same browser window** as your EMR; the extension needs both. Work through the checks below in order.

```callout kind="info"
This applies to web-EMR users who sync appointments via the Akuru browser extension. Once synced, only **New Consult**-mapped appointment types create episodes. For what the sync does at the i-consult end, see [Sync your appointments from your EMR](/i-consult/sync-appointments-from-your-emr).
```

## 1. Is i-scribe open in the same browser window?

This is the fix in most cases.

```steps
1. Open i-scribe in a tab in the **same browser window** as your EMR.
2. Keep it open while you sync. The extension reads from i-scribe in that window.
3. Try the sync again.
```

```callout kind="warning"
**i-scribe must be open in the same browser window** as your EMR for the extension to sync. A separate window, a different browser, or i-scribe closed altogether will stop the sync from working.
```

## 2. Is the extension up to date?

An out-of-date extension can fail to sync.

```steps
1. Confirm the Akuru browser extension is installed and pinned in Chrome.
2. Make sure it's updated to the latest version.
3. Reload your EMR tab after updating.
```

## 3. Are you logged in to i-consult?

The sync needs an active i-consult session.

```steps
1. Confirm you're logged in to i-consult.
2. If your session has expired, log back in and retry the sync.
```

## 4. Are you on the correct EMR page?

The extension reads appointments from the right page in your EMR.

```steps
1. Open the appointments / schedule page in your EMR, the one the extension reads from.
2. Give the page a moment to finish loading.
3. Run the sync from there.
```

```callout kind="info"
Installing and configuring the extension itself is part of the **browser-extension** product. For install and connection problems with the extension, see the browser-extension troubleshooting articles: ["No patient loaded" and patient name mismatch warnings](/browser-extension/no-patient-loaded-and-mismatch-warnings) and [The extension can't see my i-scribe or EMR tab](/browser-extension/extension-cant-see-my-tab).
```

## Still not syncing?

If i-scribe is open in the same window, the extension is current, you're logged in, and you're on the right EMR page:

- Reload both the EMR tab and i-scribe, then retry.
- Confirm the appointment types you expect are mapped to **New Consult** (see [Sync your appointments from your EMR](/i-consult/sync-appointments-from-your-emr)).
- If it still fails, contact Akuru support with the date range you're trying to sync.