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Documentation Index

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Why this matters. SMS is the channel patients actually answer. Average open rate is over 95% within 3 minutes — vs. ~20% for email. For appointment confirmations, recall sequences, and quick “running late” messages, nothing else comes close.

How it works

Robyn’s SMS works two ways:
  • Inbound — patients text your AI number, Robyn replies in the same conversation thread (bookings, reschedules, questions, escalations)
  • Outbound — Robyn sends reminders, confirmations, recall messages, waitlist callbacks, invoice chases, all from the same number
Same number for both. Patients see a single, continuous SMS thread with the clinic.

How Robyn handles SMS

Inbound booking request

“Can I get an appointment Tuesday?” → Robyn checks availability, suggests slots, books on confirmation.

Outbound confirmation reply

Robyn sends a confirmation; patient replies “yes” / “no” / “reschedule” — Robyn parses and acts.

STOP / opt-out

Patient texts STOP — Robyn acknowledges, marks the patient as opted out of all outbound, no further messages sent.

Question outside scope

“Can I take ibuprofen with my treatment?” → Robyn doesn’t answer clinical questions; escalates to the team.

What your patient sees

Robyn (SMS): Hi Sarah, this is Robyn from Bondi Physio. Just confirming your appointment Friday 9 May at 2:00pm with Dr Lin. Reply YES to confirm, NO to cancel, or RESCHEDULE if you need a different time. Patient: Yes Robyn: Great — see you Friday. If anything changes, just reply to this thread.

Setup

1

Use your AI number

Your Routiq AI number (provisioned during Calls Channel setup) is SMS-enabled by default in regions that support 2-way SMS — AU, NZ, UK, US, IE, CA.No second number to manage.
2

Confirm regional capability

SMS regulations vary by region. Routiq handles the compliance work, but here’s what you should know:
Region2-way SMSNotes
AU / NZ✅ Full supportOutbound and inbound
UK✅ Full support
US / CA✅ Full supportA2P 10DLC registration handled by Routiq
IE✅ Full support
NZ outbound to mobile⚠️ Sender-ID onlyNZ has carrier limits on alphanumeric sender; uses your AI number
See your SettingsAccount SetupSMS page for the active configuration in your region.
3

Customise message templates

SettingsOutboundSMS Templates for the default templates Robyn uses for:
  • Appointment confirmations
  • Reminders (multiple cadences)
  • Recall sequences
  • Waitlist offers
  • Invoice chases
Each template supports patient-specific variables: {first_name}, {appointment_time}, {practitioner}, {location}, {appointment_type}.
4

Set opt-out language and footer

Per most regions’ regulations, outbound marketing-style SMS must include opt-out instructions. Defaults:
  • AU / NZ: “Reply STOP to unsubscribe”
  • UK: “Reply STOP to opt out”
  • US / CA: “Reply STOP to unsubscribe. Msg&data rates may apply.”
Customisable per template.

Phone-number formats Robyn accepts

When patients text in or you import a contact list, Robyn normalises numbers automatically:
RegionLocal format examplesE.164 format
AU0412 345 678, 412 345 678+61412345678
NZ021 123 4567+6421 1234567
UK07700 900 123+447700900123
US(415) 555-0123+14155550123
Robyn won’t message the same number twice in a single conversation (deduplication on E.164).

Costs

Outbound SMS is metered per segment (160 chars / 70 chars for unicode). Routiq’s dashboard shows usage and cost in real time — OutboundUsage. Costs vary by region; AU/NZ averages around AUD 0.04/segment,UKaround£0.025,USaroundUSD0.04 / segment, UK around £0.025, US around USD 0.01.

Common questions

Yes. Every outbound SMS is sent from the same AI number, and replies land in the same conversation thread. Robyn handles the reply automatically (confirmation parsing, escalation, etc.).
Inbound MMS is captured and saved to the conversation, but Robyn doesn’t reason over images today. Outbound is text-only.
Robyn detects clinical-territory messages (“is this normal”, “should I take X”, symptom descriptions) and escalates to your team rather than answering.
All outbound. STOP marks the patient as opted out across reminders, recalls, confirmations, and waitlist offers. They can still text in (inbound is unaffected).
Yes — every message Robyn sends comes from the same AI number, so the patient sees one thread on their phone over weeks and months.

Next

Appointment reminders

Set up automated SMS reminders before appointments.

Patient follow-ups

Post-appointment recall sequences via SMS.