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Configure appointment reminders

Reminders cut no-shows by 30–50% on average. FrontDesk sends them automatically via SMS, voice call, or AI conversational voice — at the timings you pick (24h, 1h, custom). Use merge fields like {{patientName}} and {{appointmentDate}} to personalize.

Updated May 20, 20263 min read

Reminders are one of the highest-ROI features on FrontDesk. Most practices see no-show rates drop within the first week.

Where to configure

Settings → Messaging → Reminders

You'll see a list of timing rules per channel (SMS, voice, AI voice). Each rule has:

  • Timing — how long before the appointment
  • Channel — SMS, voice (one-way), or AI voice (conversational)
  • Template — the message text with merge fields
  • Conditions — appointment types it applies to (or "all")
TimingChannelWhy
24 hours beforeSMS"Reminder + confirm" — most patients reply YES or no-show signal here
1 hour beforeSMSFinal ping — catches late-day appointments
2 days beforeVoice (optional)For practices serving older patients who don't text
After no-showSMS"We missed you — reply RESCHEDULE to find a new time"

Merge fields

Drop these into any template:

FieldExample output
{{patientName}}"Maria"
{{practiceName}}"Sunny Dental"
{{appointmentDate}}"Tuesday, June 3"
{{appointmentTime}}"2:30 PM"
{{providerName}}"Dr. Park"
{{serviceName}}"Adult Cleaning"
{{locationName}}"Downtown"
{{locationAddress}}"123 Main St, San Francisco, CA"
{{confirmLink}}A short URL the patient taps to confirm

The default 24-hour template:

Hi {{patientName}}, this is a reminder about your appointment at {{practiceName}} on {{appointmentDate}} at {{appointmentTime}}. Reply YES to confirm or NO to reschedule.

Reply handling

FrontDesk automatically interprets common replies:

ReplyResult
YES, Y, C, CONFIRMMarks appointment confirmed
NO, N, RESCHEDULE, RTriggers reschedule flow (AI calls back or texts options)
CANCELCancels the appointment and notifies your team
STOPAdds the number to suppression — no further SMS
Anything elseTreated as a free-text reply; routed to your Messages inbox or to the AI for handling

Per-service overrides

Some appointment types shouldn't get reminders (e.g., a same-day walk-in). For each timing rule, you can restrict it to specific appointment types — or exclude specific types.

Settings → Messaging → Reminders → [rule] → Applies to → "All" or "Selected appointment types".

Voice reminders (one-way)

A voice reminder is a short prerecorded or AI-generated message played to the patient. If they don't answer, it leaves a voicemail.

  • Bills at standard outbound voice rate.
  • Great for older patients or appointments where missing matters a lot (procedures, surgical consults).
  • Set in the same Reminders screen — choose "Voice" as the channel.

AI voice reminders (conversational)

A step beyond — the AI calls the patient, says hello, asks if they're still planning to come, and confirms or reschedules right there.

  • Available on Professional and Enterprise plans.
  • Best for high-value appointments.
  • Bills like a normal outbound AI call (per-minute).

Honoring quiet hours and opt-outs

  • Quiet hours: TCPA-mandated, 8am–9pm in the recipient's time zone. Reminders scheduled outside this window are auto-delayed.
  • STOP keyword: A patient who replied STOP gets no further SMS from any rule.
  • Per-patient preferences: A patient can opt out of one channel (SMS) while keeping another (voice) — set on the patient profile.

Monitoring delivery

Calls & SMS → Messages → Delivery report

Shows per-message status — Sent, Delivered, Failed, Opted out. If you see a spike in failures, check SMS registration status (A2P or toll-free) and review your opt-in language.

What's next

Frequently asked questions

How many reminders should I send?
Most practices use two — a 24-hour SMS to confirm, and a 1-hour SMS as a final ping. Adding voice reminders for older patients can lift confirmation rates further.
Do reminders count against my SMS quota?
Yes. Each reminder is billed as one SMS segment (~$0.0085 in the US). Voice reminders are billed at the standard outbound voice rate.
Can patients confirm or reschedule by reply?
Yes. Replies like "YES" / "C" mark the appointment confirmed. Replies like "RESCHEDULE" / "R" trigger an AI callback (or a transfer to your number) so the patient can pick a new slot.

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