Patient Communications

Everything you need to maximize your clinic's cash flow and revenue.

Short-notice cancelations, no-shows, front desk staff stuck on the phone all day... Pebble gives you everything you need to maximize your productivity and revenue.
Unifies all of your patient communications with a single system.
A single platform with everything you need to deliver awesome, personal patient communications that give you control of your business. 99% open rate. 3 minute average response time.

Fill cancellations 20x faster than phone calls.

Every clinic hates short-term cancellations and no-shows.

In fact, some estimates show unfilled appointments cost single physician practices as much as $150,000 annually.*

Pebble solves your cancellation problem. Simply enter the phone numbers you would regularly call and click send. Pebble handles all of the tracking and notifications for everyone.

95% of recipients will see the message within the first 3 minutes and the appointment is filled and confirmed.

Simple, fast, and patients love it.


Drive new referrals from your best patients.

Motivate your best patients to refer their friends.

One-size-fits-all referral programs don’t always deliver the patients that you’re looking for.

With Pebble, you can cherry-pick your best customers and reward them for referring patients just like themselves.

The result? A flexible referral program that you can use to acquire only the new patients you want to see.


Customer loyalty and rewards programs that don’t suck.

Surprise and delight your patients with selective loyalty or reward programs that you can deliver directly to their phone.

Send anything you want as a single thank you, or a group hug.

Pebble’s flexibility allows you to partner with other local businesses, run your own programs, and deliver awesome, personal customers service.


Generate Instant Sales + Cash Flow

Pebbles workflows make it easy to instantly generate extra cash flow any time you need it by sending special offers, upsells, cross sells or packages.

And because you can select the recipients and limit the offers, there’s no risk that you’ll be overrun with acceptances or damage your brand.


It’s easy for clinics to love us, which is why so many do.

Built for every local business; doctors, dentists, and dog-walkers, butchers, bakers and candlestick makers.

I was initially skeptical but Pebble gave me something I never had - control of my weekly cash flow. If I need more sales I just push the button and it’s sold. It’s magic.
— Ben Martinez, Sumato Coffee
Instead of sending staff home when it’s slow, we send out an offer. Works like a charm and keeps everyone busy.
— Maddy Webb, The Lift Grill
We used Pebble as a novelty for the first few weeks to reward our best customers – then looked at the sales numbers. Now we use it all the time.
— Yoshi Shiraki, stylist
One Platform

The real-time patient communication platform for control freaks, bean counters, and marketing gurus.

Pebble gives you the tools to connect with your patients on-demand and in real time to fill your schedule in minutes without the time-waste and hassle of endless phone calls.
Anyone can say they deliver ROI like Pebble on a website.
On a spreadsheet it's a bit more difficult.
How can Pebble help you?

Generate cash-flow on-demand

Instant, push-button cash flow when you need it. Built on SMS text messaging Pebble makes it easy to message a targeted audience on-demand to drive direct buying actions with built-in emotional buying triggers and perfect control.

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Fill unused and available inventory before it's lost

Because Pebble works in real-time, you can fill unsold inventory or extra capacity just before you lose it. The result, increased revenue that goes straight to the bottom line, maximizing your revenue and profitablity.


Increase buying frequency and average purchase price

Motivate and incentivize individual or small groups of customers to buy from you more frequently by sending them a discount, special offer or reward. Offer customers add-on offers and perks that drive customer buying behaviors and reward additional purchases.


Increase the total lifetime value of each patient

Push the gas pedal on your business growth. Engaged customers spend more with your business, buy more often over a longer period, and refer new customers more often. Pebble helps you increase the total lifetime value of every customer.


Drive new referrals from your best patients

Because you can personalize every offer and restrict who receives it on the fly, you can send individual or group referral incentives based on what you need right now, without the need for a big one-size-fits-all program.


Get reviews and testimonials on Facebook and Google

Ask your customers for reviews on Facebook and Google. Message your customers requesting a review and forward them automatically to the review site of your choice.


Drive immediate actions with emotional buying triggers

Built-in emotional buying triggers drive immediate engagement and response, and allow you engage your customers in ways that you just can't do with generic mass marketing tools or advertising.


Flexibility - Handles every use case

Flexiblity that fits any use case: offers, discounts, incentives, events, announcements and pretty much anything else you can think of. And since it's designed for real-time communications it responds as your needs change.


Perfect control

Control every offer. Choose recipients, limit the number of acceptances, set expiration and send times, and add instructions and acceptance actions like forwarding to a URL or a phone number.

Clinic Productivity

It's either a schedule filling masterpiece that gives your team a good part of their day back, or another 2 hours they have to look busy.

Pebble fills vacant appointments and frees your staff for more productive work.

Introducing the waiting list.
Now without the wait.


If you’re going to stay in business and turn a profit you’re going to need to keep your treatment rooms filled.

Take a look at your front desk. There's a lot of back-and-forth calling, waiting, and wasted time trying to make sure that every appointment is filled, but it’s not efficient or productive.

Overbooking, call-backs, rescheduling, leaving messages, answering the phone… 

It's a lousy experience for your your patients.

And there's another problem. It wastes your money, sapping staff time that could be better spent elsewhere.

And guess what?

It often fails. 

In fact, some estimates show unfilled appointments cost single physician practices as much as $150,000 annually in lost revenue and staff time.*

It’s all too familiar.

We chose a different approach. Because we realized an important but overlooked fact: If you could just message the patients on your “next available appointment list” and add a simple workflow you could easily keep your schedule filled.

That’s just what Pebble does.

Pebble puts a merciful end to your staffs scheduling chores and teeth grinding patient bottlenecks. We combine all of your patient communications into a single automated system. It allows you to fill your schedule on-demand, and optimizes patient flow and staff efficiency.

The result; a simple process that keeps your treatment rooms filled and keeps your clinic humming along at maximum productivity.

Imagine what that might look like for you.


Maximize your clinic's productivity and revenue.

Some estimates show unfilled appointments cost single physicians as much as $150,000 a year.*
Pebble helps you fill short-term cancelations, no-shows, and unfilled appointments in minutes.


Frequently Answered Questions


How much money am I losing to short notice cancellations and unfilled appointments?

Estimates are that short-time cancellations and no-shows cost the healthcare industry at least $150 billion a year.

Example: If your clinic sees 100 patients a day at an average appointment cost of $125, with a 13% unfilled rate, your practice is losing $32,500 every month.

In a recent study on one practice, the average daily loss was $725.42.

Some estimates show missed appointments cost single physicians as much as $150,000 annually.*

What is Pebble?

Pebble is a light weight messaging platform for local service based businesses that allows you to connect with your customers and sell to them on-demand. It can be used for marketing, sales, engagement, loyalty, rewards and support communications.

It’s designed to be used daily to send targeted communications to individuals and small groups to manage your inventory and revenue in real-time.

Pebble is is built on SMS giving it a 99% open rate and an average 3 minute response time and produces engagement rates 6 to 8 times higher than email.


  • Bjorn Berg, “Estimating the cost of no-shows”, The National Center for Biotechnology Information. PMC 2014 Sep 3.
  • Parviz Kheirkhah, “Prevalence, predictors and economic consequences of no-shows”, NCBI, Jan 14, 2016. Toland, Bill. “No-shows cost health care system billions,” Pittsburg Post-Gazette. Feb 24, 2013.
  • Gold, Jenny, “In cities, the average doctor wait-time is 18.5 days” The Washington Post. Jan 29, 2014.
  • Lacy, Naomi. “Why We Don’t Come: Patient Perceptions on No-Shows” Annals of Family Medicine. vol. 2 no 6. Nov 1, 2004.
  • Evans, Melanie. “When revenue is a no-show” Modern Healthcare. Nov 3, 2012.
  • Mckee, Shawn. “Measuring the Cost of Patient No-Shows”

of businesses that fail are killed by a cash flow problem.


of small business owners worry about cash flow every month.


Average response time.
2400X faster than email.


of your patients prefer to be texted.


For even more reasons to try Pebble, just keep running your practice without it.

Try Pebble risk free and see just how easy it really is.