To ensure your patients receive appointment communications via SMS, you'll need to do three things:

define what SMS communications you'd like to send
opt patients in to receive SMS communications
Purchase SMS credits

WriteUpp comes with a number of SMS communications predefined, which you can read about here, but you can quickly and easily add additional ones by following the steps below. 

To set up an SMS appointment communication:

 Go to Main Menu -> Settings -> Scheduling -> Appointment Communication

Click on New Trigger at the bottom of the screen

Use the drop down boxes to specify your communication details, including:

Method - SMS (Email is available as an option too)
Message template - What information would you like send?
Event - What event in WriteUpp will trigger the sending of the message?
If type is (optional) - Would you like the message to be sent for only a particular appointment type?
When? - When would you like your message sent? (options available for Reminder and Video Reminders only)

Once you hit Save, you'll be taken back to your list of communication triggers and see an entry relating to the one created

Repeat to add as many communications as you would like to use!
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