Speak to clients from the chart.
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.
- 94%Confirm-by-text response rate
- −38%No-show rate vs. phone-only
- 1 threadPer patient, across the team
- TCPACompliant by default
Hi Sarah! Bella's annual exam is tomorrow at 10:30 with Dr. Reyes. Reply YES to confirm, R to reschedule.
Hi Sarah, hoping Bella is comfortable after her dental yesterday. How is she doing?
- Vaccines due, 2
- Open Rx, Carprofen
- Photo → attach to chart
- Question → route to vet
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
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.
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.
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
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
- SMS30 days before dueHi Sarah, Bella's rabies is due 06/12. Book online: bittsi.app/r/abc
- 7 days before · if no responseBranded email with quick-book button + price
- SMS · Task1 day before due · if still nothingFinal SMS & task on front-desk dashboard
- RecallAfter due · 14 daysLapsed-care recall queue, single weekly digest call
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
Bella was a star today. We confirmed mild ear infection (otitis externa) and her dental is in good shape.
- Mometamax ear drops5 drops · BID · 7d
- Carprofen 25mg½ tab · BID · 5d
Recheck in 14 days · text us photos sooner if her ears worsen.
Just reply to this thread, Dr. Reyes will see it.
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
- +24 hrHow is Coco doing tonight?
Limp normal? Eating? Resting?
GreatSo-soCall me - +72 hrDay 3 check.
How is the incision? Reply with a photo if you'd like us to look. Pain meds going down ok?
- +14 dTwo-week post-op.
Time to book the suture-check / recheck. Tap to schedule.
BookQuestion
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.
Ask Sage, AI-suggested replies
Sage reads the chart so your staff doesn't have to.
- Client sends a message
- Staff clicks "Ask Sage"
- Sage reads the conversation and the patient chart
- Staff 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 client receives
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.
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 activeBring Bella for her spring vaccines this Sat 4/30, $20 off DA2PP+L. Walk-ins welcome 9 to noon.
Targeted to clients with active SO Rx in last 60 days. Refund + replacement food info.
We'll be open 8 to noon on 5/26 for emergencies only. Routine appointments, please book before or after.
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.
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.
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.