Prerequisites: A sequence sends to a cohort — set one up first, or create one while building the sequence.
Build a Sequence
1
Name it and pick a cohort
Give the sequence a name (for example, Re-engage inactive patients) and choose the Cohort that should receive it. The cohort defines who gets the messages.
2
Set a schedule
Choose whether the sequence runs once or repeats — see Set a schedule below.
3
Add steps
Add each step and how long to wait before it runs. Use Add step for each one, then click Create Sequence.
Choose what a step does
Each step has an Action:- SMS — texts the patient.
- Email — emails the patient.
- Task — creates a task instead of contacting the patient. Give it a title and description, and set the status, priority, assignee or team, and due and start dates the same way you would on any task. The dates are relative to when the step runs.
Personalize messages
Type@ in any message step to insert a variable. Alongside patient and clinic details, you can pull in their last visit — the date, provider, service, or {review_link}, which sends them to a page where they can rate the visit and leave a review.
Visit details come from each patient’s most recent completed appointment, so everyone gets their own. A patient with no past appointment gets a blank value, so use these in sequences aimed at patients you’ve already seen.
Set a Schedule
In the Schedule section, choose how often the sequence repeats:- Does not repeat — a one-time send to everyone in the cohort.
- Daily, Weekly, Every weekday (Mon–Fri), or Monthly — the common repeat patterns.
- Custom — an advanced pattern such as every 2 weeks or monthly on the last day.
Repeating sends always go out at 9:00 AM in your clinic’s time zone. You choose the day(s); the time is fixed.
Re-enrollment cooldown
The Re-enrollment cooldown controls how soon a patient can enter the sequence again after finishing it.- On a repeating schedule the cooldown starts at 0, so everyone currently in the cohort is messaged on every send.
- Set a cooldown to space out how often the same patient hears from you. A patient who just finished won’t re-enter until the cooldown passes, counted from when they finish the sequence.

