The patients you already paid for, recovered.
Most clinics sit on a database worth more than next month's ad budget: leads who never booked, patients who lapsed, and checkouts abandoned halfway. We build the SMS and email automation that works that list continuously, on a properly registered A2P campaign, so the recovery does not cost you your texting ability.
Four sequences that do most of the work
Nurture automation fails in one of two ways: it never gets built, or it gets built as a blast that burns the list. What works is a small number of sequences with clear entry and exit conditions, each tied to something the patient actually did.
New lead nurture
A 90-day sequence for leads who did not book on first contact. Paced to restart the conversation at intervals, and it stops the moment the patient replies, books, or opts out.
Abandoned checkout recovery
For telehealth clinics, the patient who started an order and stopped is the highest-intent contact in the database. A dedicated sequence fires on that event and exits the moment they purchase.
Lapsed patient reactivation
Campaigns that work your existing patient list rather than buying the same person twice. Segmentation runs on last appointment date rather than tags, which is the difference between a clean send and messaging someone who already rebooked.
Appointment reminders
Confirmation plus reminders at 48 hours, 24 hours, 2 hours, and 30 minutes, by SMS and email, because the cheapest patient to acquire is the one who already booked and simply needs to turn up.
Why the database is usually the cheapest channel
additional ad spend to work a list you already own
of structured follow-up on every new lead
of reminders protecting each booked consult
Recovery and reactivation rates vary widely by list age, consent status, and how recently the list was last contacted. A list that has never been messaged performs very differently from one messaged weekly.
The guarantee
Nurture automation is built as part of the ScaleClinics system rather than billed separately, because the booked-patient guarantee depends on it working. We agree on a patient number on the strategy call, and if we miss it in 90 days we keep working free until we hit it.
“Almost every clinic we onboard has a list they have never properly worked. Before we spend a dollar of new ad budget, we would rather find out what the people who already raised their hand are worth.”
Built for clinics with a list and no system to work it
This is the highest-return work available to a clinic that has been running for a year or more, because the acquisition cost on those contacts is already sunk. It is also the fastest, since nothing has to clear Meta review before it can go out.
The reason most clinics have not done it is compliance rather than laziness. Sending marketing SMS without a registered A2P 10DLC campaign gets messages filtered by carriers, and sending to contacts without documented consent creates real TCPA exposure. We handle the registration and hold the line on consent, including refusing to message contacts whose consent we cannot verify from the record itself.
Patient nurture automation, answered
Can a clinic legally text patients for marketing?
Only with documented consent for marketing specifically, and only from a registered A2P 10DLC campaign. This trips up clinics because a checkbox covering terms of service, privacy policy, and telehealth consent is not marketing consent. The two have to be captured separately. Every message also needs working opt-out handling. Getting this wrong risks both carrier filtering and TCPA liability, which is why we verify consent against the actual record before any sequence goes live.
What is A2P 10DLC and does my clinic need it?
A2P 10DLC is the registration system US carriers require for business text messaging on standard 10-digit numbers. Without it, carriers filter or block your messages, often silently, so the clinic sees messages marked as sent that never arrived. Any clinic sending appointment reminders or marketing SMS needs it. Registration involves brand and campaign approval and takes time, so we start it early in onboarding rather than at launch.
How do you reactivate old patients without annoying them?
Segmentation and exit conditions. We segment on last appointment date rather than tags, because tags drift and dates do not, and we exclude anyone with an upcoming booking. Sequences stop immediately on any reply, booking, or opt-out. The message itself offers a reason to return rather than simply asking for the booking, and the cadence is spaced over weeks rather than days.
What is abandoned checkout recovery for a telehealth clinic?
When a patient starts an order with your telehealth provider and does not complete it, that event can trigger a dedicated recovery sequence. It is the highest-intent contact in the database, since the patient reached the payment step. Making this work requires an integration with the provider platform so the abandonment event actually reaches your CRM, which is a build step, not a setting.
Do you write the messages or do we?
We write them, and every message goes through a compliance review before it sends. That review covers health claims, restricted compound names, and the opt-in and opt-out language carriers require. You approve the sequences before they go live, and we adjust the voice to match how your clinic actually speaks to patients.
Stop chasing leads.
Start booking patients.
15-minute strategy call. We'll look at how you're getting patients now, tell you what we'd change, and give you a guaranteed patient number for your clinic.
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