Starting at $25/month
48-hour money back guarantee • No long-term contracts
Your front desk spends 3-5 minutes on each reminder call and still cannot reach the patients who work days. Drop Cowboy leaves a voice message in the patient's inbox and a text they can reply to, for every appointment on the schedule, with nobody dialing. Practices cut no-shows 50-60% and get back 10-15 hours a week.
What changes at the front desk, and what stops being done by hand.
Patients who actually hear the reminder show up. It goes out on every appointment on the schedule, not just the ones somebody had time to call.
Reminder calling, voicemail tag, and the callbacks that follow — all off the schedule. Front desk time goes back to the people standing in front of them.
Role-based permissions on who can send, a complete record of what went out and when, and automatic suppression list handling.
Merge fields pull from your list, so a hundred reminders are a hundred specific reminders rather than a broadcast people tune out.
Ringless voicemail for the reminder, SMS for the confirmation, voice broadcast when something has to reach everyone today. Older patients answer voicemail. Working patients answer texts.
A calm, factual message with the amount and a way to pay beats a phone call nobody picks up, and it keeps billing staff off the phone.
Reminders send in the evening and on weekends, when the patients who work days are actually reachable. No overtime.
At $15-25 an hour in staff time, manual reminders are one of the most expensive quiet line items a practice carries.
The sequence lives in the platform, not in one person's routine. When someone leaves, patient communication does not leave with them.
Inconsistent timing is why some weeks look fine and others have four empty slots. A fixed sequence removes the variable.
For most practices that is a part-time salary spent leaving voicemails nobody returns.
Every empty slot is one that could not be filled at short notice. That is the number automated reminders work against.
Payment reminders send on a schedule with the balance and a link, instead of a staff member working down a spreadsheet by hand.
The workflow is set up once. New hires inherit it on day one instead of learning it from whoever is left.
The same platform, tuned to how your practice books time.
Annual physicals, follow-up visits, and pre-procedure instructions. The reminder that keeps a 20-minute slot from going empty at 9am on a Tuesday.
Six-month recall, hygiene appointments, and the treatment plan a patient approved and never scheduled. Recall lists are where dental practices leave the most revenue sitting.
Session reminders and confirmations with nothing clinical in the message — practice name, date, time, and a callback number, which is all a reminder needs to work.
Statement notices and payment reminders carrying the balance and a way to pay. Fewer accounts aging past 60 days, without a collections call.
Prep instructions patients have to follow before they arrive, sent when they will actually read them, plus a confirmation that they did.
Prescription ready notices, refill reminders, and a pickup nudge before a filled script goes back on the shelf.
Build your reminder sequence this week. 14-day free trial, no credit card required, and a 48-hour money back guarantee. Starting at $25/month with no long-term contract.
Nine sends, with the timing that makes each one work.
Send 72 hours out so there is still time to fill a cancelled slot, then again two hours out so nobody simply forgets. Two touches beat one by a wide margin.
Confirm the day before with the join link and a line on what to have ready. Most telehealth no-shows are people who could not find the link.
Fasting windows, medications to pause, what to bring. Send the day before, when it is actionable, not at booking when it gets forgotten.
A check-in after a procedure or a first visit. Ask one question and give them a number to call. It catches problems early and it is the reason patients come back.
Statement issued, then a reminder at 15 and 30 days with the balance and a payment link. Factual, not adversarial.
One voice broadcast or SMS send to the eligible list when supply arrives. This is where reaching thousands in an afternoon actually matters.
An outreach to every patient who has not booked in twelve months. It is the cheapest new appointment your practice can generate.
Ready for pickup, refill due, and a last nudge before the script is returned to stock.
Ask patients to confirm coverage before the visit rather than at the counter. Fewer reschedules, fewer surprise balances, shorter check-in.
Copy you can send as written. Appointment details only, nothing clinical.
Hi Maria, this is Westside Family Medicine. You have an appointment on Thursday, March 14 at 2:30pm. Reply C to confirm or call (555) 010-2200 to reschedule. Reply STOP to opt out.
Hi Maria, Westside Family Medicine — reminder that your appointment is today at 2:30pm. Please arrive 10 minutes early. Reply STOP to opt out.
Hi James, Westside Family Medicine. Your video visit is tomorrow at 10:00am. Join here: [link]. Test your camera and mic beforehand if you can. Reply STOP to opt out.
Hi Alan, this is Westside Family Medicine regarding your account balance. You can view your statement and pay at [link], or call (555) 010-2200 with questions. Reply STOP to opt out.
Hi Dana, your prescription is ready for pickup at Westside Pharmacy. We hold prescriptions for 7 days. Reply STOP to opt out.
Hi Chris, Westside Family Medicine — flu shots are available now, walk in Monday to Friday 8am to 4pm, no appointment needed. Reply STOP to opt out.
Every account comes with a dedicated account manager who has set this up for practices your size. Tell them your schedule volume and they will build the first sequence with you.
Two numbers that decide whether this pays for itself.
The drop practices see once every appointment gets a reminder instead of only the ones staff had time to call.
Recovered appointment revenue for a practice running roughly 100 visits a week. Your number scales with your volume and your average visit value.
HIPAA-aligned controls. BAAs available. Minimize PHI in message content.
Drop Cowboy maintains HIPAA-aligned controls. Business Associate Agreements (BAAs) are available. See Security for the SOC 2 Type I examination date and reports.
Encrypted data transmission, secure message delivery, role-based access controls over who can send what, complete audit logs of every communication, and automatic suppression list management.
Keep sensitive detail out of the message — date and time is enough. Collect consent before you send and keep the record. Maintain your suppression list. Set quiet hours and stay inside them.
Safe to include: patient first name, appointment date and time, provider name, practice name, callback number, and how to reschedule. Leave out diagnosis, treatment detail, test results, and anything else about the patient's health.
Keep a record of how and when each patient opted in, log every opt-out, and be able to produce both. Regulatory compliance is your responsibility as the sender — Drop Cowboy gives you the controls and the audit trail to support it.
Four channels, one account. Most practices run two.
The phone never rings. Your recorded voice sits in the patient's inbox and they listen when they can. It reaches older patients and anyone who will not answer an unknown number, which is most people now.
Reply C to confirm, tap a link to reschedule, get the join link for a video visit. Anything that needs a response from the patient belongs in a text.
An office closure, a weather day, a recalled lot, vaccine supply arriving. One send reaches the whole list in minutes with a live-answered call.
When someone replies with a question, your staff works a dialer list with click-to-dial and the full message history on screen, instead of hunting through voicemails.
Medical, dental, behavioral health, billing, and pharmacy teams all run on the same platform. Ask us what a practice your size typically sets up first.
The arithmetic, laid out. Substitute your own visit value and volume.
100 appointments a week at a 20% no-show rate is 20 missed appointments. At an average appointment value of $150, that is $3,000 a week, or $156,000 a year, walking out the door. Add 8 hours a week of staff time on manual reminder calls at $20 an hour: $8,320 a year.
The no-show rate falls to 8%, which is 8 missed appointments a week — a 50-60% reduction. Lost revenue drops to $1,200 a week, or $62,400 a year. That is $93,600 in recovered revenue, plus the 8 hours a week of staff time back, worth another $8,320.
Recovered revenue of $93,600 plus $8,320 in labor comes to $101,920 a year in benefit, against platform and message costs that start at $25 a month. Contact us for volume pricing based on your actual appointment count.
At a $150 average appointment value, recovering a handful of no-shows a month covers the cost of the platform. Most practices pass that in the first week of sending. Run the same math with your own visit value before you commit to anything.
Four ways to get your schedule into the platform.
Connect the system you already book in so appointments flow through without anyone retyping them. If your PM system has an API or an export, there is a path.
700+ apps connect through Zapier and native integrations. A new appointment triggers the reminder sequence, and a cancellation removes it, with no development work.
The simplest option, and the one most practices start on. Export tomorrow's schedule, upload it, send. Works from day one while a deeper integration is being set up.
Delivery, listen, reply, and opt-out events post to your endpoint as they happen, so your own system stays current without polling.
Start on the 14-day free trial with no credit card, keep the 48-hour money back guarantee, and cancel any time — there is no long-term contract. Plans start at $25/month.
Security, consent, cost, timing, and what to put in a message.