Two-way SMS, email, and reminder automation built into Bittsi PIMS. Confirmations, recalls, post-visit summaries, and post-op check-ins, sent from the room, threaded under the patient.
Hi Sarah! Bella's annual exam is tomorrow at 10:30 with Dr. Reyes. Reply YES to confirm, R to reschedule.
Sent from Bella's chart · Riverside
YES! See you then 🐾
9:14 AM
Today · 11:08 AM · post-op check-in
Hi Sarah, hoping Bella is comfortable after her dental yesterday. How is she doing?
GreatSo-soCall me
Auto · 24h post-discharge
She ate breakfast and is napping in the sun. Eating soft food no problem.
11:22 AM
Reply from Bella's chart…
Chart context
Bella Hayes · Goldendoodle
3 yr · 24.6 kg · last visit 04/14
Vaccines due, 2
Open Rx, Carprofen
Reply triggers
Mark confirmed → schedule
STOP → opt-out across clinics
Photo → attach to chart
Question → route to vet
Every channel · one thread
Reach clients where they actually read.
Two-way SMS
Threaded under the patient
MMS
Photos & video both ways
Branded email
Templates with your logo
Smart reminders
Vaccine, Rx, recheck
Mass campaigns
Closures, recalls, news
Voice transcripts
Inbound calls, soon
The texting workaround tax
Most clinics text clients from somebody's iPhone.
Or three: a personal cell, a clinic Google Voice, a third-party reminder tool nobody logs into. The conversation is everywhere except in the chart.
~22%
No-shows from voicemail jail.
Confirmation calls hit voicemail. Texts come from a personal phone the next person on shift can't see, so the loop never closes.
3 systems
The conversation is scattered.
Reminders, intake, post-op all live in different tools or personal phones. Nobody knows what the client was told yesterday.
TCPA
Consent is "we think so."
No opt-in record, opt-outs happen by angry phone call, quiet hours are informal. One complaint and the audit trail is gone.
Handoffs
Continuity dies on shift change.
The morning tech texts. The evening tech can't see what was sent. The client re-explains every time someone new picks up the thread.
~6 hrs/wk
Manual reminders eat the front desk.
Spreadsheet exports, copy-paste into a third-party texting tool, the same routine every week instead of seeing patients.
Care gap
Post-op check-ins don't happen.
The 24-hour, 72-hour, and 14-day calls slip when the floor is busy, and the clients who needed them most are the ones who miss them.
How it works
Communication that belongs to the chart.
Every reminder, every reply, every photo, pinned to the right patient, visible to the whole team, and audited end-to-end.
01 / Threaded inbox
One thread per patient. The whole team can see it.
Morning team sees the same thread the closing tech started yesterday. Reply from the chart, sign off with your initials, move on.
Linked to the patient + client + episode
Internal notes alongside outbound messages
Assignable to a vet, tech, or front desk
SLA timer on unanswered client questions
Inbox · 4 unread · today
Sarah Hayes · Bella · Goldendoodle
Quick question, should she be eating yet?
9:02 AMNew
Marcus Patel · Milo · DSH
YES, confirming Tuesday 10:30 with Dr. Reyes
8:48 AMConfirmed
Priya Lee · Luna · Beagle
She's wagging again, thank you so much
8:31 AMPost-op 24h
Jordan Garcia · Coco · Holland Lop
Sent a photo of her gums, does this look ok?
8:12 AMPhoto
Nadia Patel · Rocco · Lab ×
Refill request: Apoquel, last picked up 3/14
7:55 AMRefill
02 / Reminders & recalls
Vaccines, refills, rechecks, on the right cadence, on the right channel.
Per-service rules. Bittsi watches the dates and fires SMS, then email, then a call task if nothing lands, with quiet hours and timezone respected.
Vaccine, Rx refill, recheck, dental, recall
Multi-step cadence: 30d / 7d / 1d / day-of
Auto-suppress when already booked
Quiet hours + per-clinic timezone
Reminder rule · Rabies due · canine
1
30 days before due
Hi Sarah, Bella's rabies is due 06/12. Book online: bittsi.app/r/abc
SMS
2
7 days before · if no response
Branded email with quick-book button + price
Email
3
1 day before due · if still nothing
Final SMS & task on front-desk dashboard
SMS · Task
4
After due · 14 days
Lapsed-care recall queue, single weekly digest call
Recall
03 / Post-visit summary
The handoff to the kitchen counter.
Every visit ends with a clean branded summary, diagnosis, treatment plan, meds, what to watch for, when to come back. Pulled from the chart, edited in seconds, sent over SMS or email.
Auto-drafted from today's encounter
Med dosing in plain English
Embedded "concerns" check-in box
Saved as PDF to the chart automatically
Sending to Sarah Hayes · SMS preview
Bella's visit summary
04/28/26 · Riverside Vet
Bella was a star today. We confirmed mild ear infection (otitis externa) and her dental is in good shape.
Take-home meds
Mometamax ear drops
5 drops · BID · 7d
Carprofen 25mg
½ tab · BID · 5d
When to come back
Recheck in 14 days · text us photos sooner if her ears worsen.
Concerns?
Just reply to this thread, Dr. Reyes will see it.
04 / Post-op check-ins
The 24h, 72h, 14d check-ins that always get done.
Surgery, dental, and flagged cases get a warm on-brand text at the right moment with quick-reply buttons. Anything that isn't "great" routes to the team.
Auto-cadence by procedure type
Quick-reply buttons (Great / So-so / Call me)
Negative replies escalate to a vet task
Outcomes logged to the chart
Coco · TPLO · post-op cadence
+24 hr
How is Coco doing tonight?
Limp normal? Eating? Resting?
GreatSo-soCall me
+72 hr
Day 3 check.
How is the incision? Reply with a photo if you'd like us to look. Pain meds going down ok?
+14 d
Two-week post-op.
Time to book the suture-check / recheck. Tap to schedule.
BookQuestion
Powered by Sage AI
AI that knows the patient. Not just the question.
This is where Bittsi leaves every competitor behind. Sage has access to the patient's full medical history, SOAP notes, lab results, and medications, so every reply is grounded in the chart, not a guess.
Example
Client texts:
"Is Bella's bloodwork back yet?"
Sage suggests:
"Hi Sarah! Yes, Bella's bloodwork results are in and everything looks great, kidney and liver values are all within normal range. Dr. Johnson would love to go over the details with you. Would you like to schedule a quick call?"
Ask Sage, AI-suggested replies
Sage reads the chart so your staff doesn't have to.
How it works
1Client sends a message
2Staff clicks "Ask Sage"
3Sage reads the conversation and the patient chart
4Staff picks a reply, optionally edits, and sends
No other veterinary PIMS generates post-visit follow-up SMS from clinical notes. This is an industry first.
AI post-visit follow-ups
83% of millennial pet owners expect a follow-up within 48 hours. With Bittsi + Sage, every visit gets a personalized follow-up, automatically.
What the doctor wrote
AssessmentBilateral otitis externa with secondary yeast infection.
PlanOtomax 1mL each ear BID x 14 days. Recheck in 2 weeks.
Auto-drafted from today's encounter
What the client receives
Hi Maria! Thanks for bringing Coco in today. Dr. Patel found an ear infection in both ears, a very common and treatable condition. We've prescribed Otomax ear drops: apply 1mL in each ear twice daily for 14 days. Watch for excessive head shaking or unusual odor. Coco's recheck is in 2 weeks. Text us if you have any questions!
The Bittsi advantage
Most veterinary communication tools are bolt-ons. Bittsi's is built in.
Real differentiation, not a feature checklist. Here's what no other veterinary PIMS does today.
CapabilityBittsiOthers
AI replies with full patient medical contextYesNo one
AI post-visit follow-up SMS from SOAP notesYesNo one
Native PIMS integration (not a bolt-on)YesYes
Real-time conversations across the teamYesSome
MMS photo messaging (both directions)YesLimited
Campaigns
When you need to reach everyone at once.
Closures, recalls, vaccine clinics, holiday hours, severe-weather notices. Filtered by species, clinic, or lapsed-care status. Sent only on the channels each client opted into.
Audience filters: species, due-status, clinic
Per-channel preview before send
Throttled delivery for big lists
Live engagement: opens, clicks, replies
Campaigns
3 active
Spring vaccine clinic · Saturday
Sent Apr 22 · 09:00
Bring Bella for her spring vaccines this Sat 4/30, $20 off DA2PP+L. Walk-ins welcome 9 to noon.
1,284 sent
96.2% delivered
14.1% tapped
68 booked
Royal Canin urinary recall
Sent Apr 18 · 14:30
Targeted to clients with active SO Rx in last 60 days. Refund + replacement food info.
142 sent
100% delivered
61.3% replied
128 acknowledged
Memorial Day hours
Scheduled Apr 30 · 08:00
We'll be open 8 to noon on 5/26 for emergencies only. Routine appointments, please book before or after.
Compliance & trust
Texting that holds up.
Real consent, real opt-out, real audit trail. Built to TCPA & CASL out of the box, so you can text without thinking about it.
Consent on file
Captured at intake, visible on the client record, with date and channel logged.
One-tap opt-out
STOP from any clinic in the practice opts the client out everywhere. Confirmed and timestamped.
Quiet hours enforced
Per-clinic windows respected. Urgent comms can override only with explicit role permission.
Full audit trail
Every send, delivery, click, reply, and opt-out, exportable for any audit or board complaint.
FAQ
What clinics typically ask us.
Short, honest answers. If something's missing, our team will pick up the phone.
Yes. Clients reply to your reminder, confirmation, or check-in and the message threads directly under the patient chart. Anyone on the team can pick it up; nothing lands in a personal phone.
Bring us your last reminder list
A 30-minute demo on your patients.
We'll show client communication on a live chart, run your typical reminder cadence, and put numbers behind the no-show reduction your clinic can expect.