Poor email marketing practices cost healthcare providers a fortune. No-show appointments drain $150 billion from the U.S. healthcare system each year. This creates a massive financial burden that affects patient care and clinic profits. The solution is surprisingly available to everyone.
Smart email automation strategies can reduce costly no-shows and improve patient outcomes. A recent poll shows that all but one of these medical groups (63%) managed to keep or lower their patient no-show rates in 2024. We achieved this through better communication systems. Email is faster and easier to personalize than phone calls or mailed notices.
Most marketers (58%) find it hard to use automation. They either create poor strategies or miss their true value. Telehealth clinics can tap into this chance to make their healthcare workflows and patient communications more efficient. Getting past patients to return gets nowhere near as pricey as finding new ones. This makes retention-focused email flows crucial for lasting growth.
This piece will walk you through 12 must-have email marketing automation flows for your telehealth clinic. You'll learn how to build them using CIO with Bask Data. These proven email automation examples cover everything from appointment reminders to recovery campaigns. They'll help you reach the 25-30% open rates that successful telehealth providers see when they segment their audiences properly.
Stop losing patients in silence—automate these 12 flows and watch no-shows drop, refills rise, and LTV climb.
Key Takeaways
- Build 12 lifecycle flows (welcome, prep, reminders, status, refills, education, win-back) before scaling paid traffic.
- Power automation with Bask → CIO events (approved, shipped, refill due, payment failed) — not manual tags.
- Keep PHI out of subject lines and Webflow forms; route clinical details via secure portals/BAA tools only.
- Use a 3-touch reminder cadence (1 week, 24h, day-of) to slash no-shows; add tech-check + reschedule link.
- Trigger week 1–4 check-ins and 7–14 day refill reminders; nudge from delivery date + days’ supply.
- Send behavior-based nudges (missed intake, failed payment, stalled refill) within minutes of the event.
- Aim for subject lines less than 50 characters, plain language, value-first; never include diagnosis or medication names.
- Segment by status, niche, SKU/plan, engagement; let segments update from workflow events automatically.
- Run win-backs at 30/60/90 days (personal check-in → value reminder → offer) across email + SMS (HIPAA-safe).
- Track the funnel: open → click → intake start → completed intake → show rate → refill; fix the biggest leak first.
Core Email Flows
Email sequences are the foundation of successful telehealth patient engagement. Healthcare communication research shows that automated emails sent at the right time throughout a patient's treatment can reduce no-shows. These emails also help build lasting relationships with your telehealth patients.
Pre-visit + Onboarding Flows
The right preparation makes all the difference in a patient's treatment. Well-laid-out welcome and appointment-prep emails help set expectations and reduce support requests. Your emails should include:
- A welcome series to introduce your telehealth platform
- Instant booking confirmations
- Pre-visit reminders with tech setup steps
- Day-before messages with meeting links and options to reschedule
Research shows that multiple reminder strategies can cut no-show rates dramatically. Adding tech support contacts or options to test calls helps reduce anxiety for patients who are new to virtual care.
Care Status Flows
Patients need clear updates about their treatment after the consultation ends. These messages build trust, which is vital for telehealth, where in-person meetings are limited.
Your status updates should cover:
- Updates on provider reviews
- Requests for approval or more information
- Decisions about eligibility
- Updates on medication shipping
The best status emails give patients a clear view of their treatment progress without overwhelming them with medical terms.
Retention Flows
Getting patients to take their medications correctly is healthcare's biggest challenge. About half of patients with chronic conditions don't follow their medication schedule. Good retention emails help solve this through:
- Weekly check-ins with progress tips
- Reminders sent 7-14 days before refills are due
- Gentle nudges based on patient behavior
Patients who get targeted medication reminders refill their prescriptions more often - 44% compared to 30% for those who don't. These automated messages keep patients on track without needing much staff time.
Revenue + Recovery Flows
Bringing back existing patients costs less than finding new ones. Automated win-back campaigns are a great way to reconnect with patients who haven't used your services recently.
Your revenue and recovery emails should include:
- Educational content that shows your value
- Stories about successful patient outcomes
- Personalized treatment suggestions based on history
- Messages to win back patients who haven't visited in 30-90+ days
These campaigns work best in stages: reach out personally after 7-14 days, send automated follow-ups at 30-60 days, and share re-engagement content after 90+ days without activity.
Setting up these four email sequences creates a complete communication system that guides patients from their first visit through ongoing care. This approach improves patient outcomes and helps build stronger, longer-lasting patient relationships.
Pre-visit + onboarding flows (welcome, prep, expectations)
A patient's first 24-48 hours after scheduling a telehealth appointment can make or break their virtual care experience. Well-timed pre-visit emails help patients show up prepared and ready for their virtual consultations.
Welcome email with platform overview
The welcome sequence builds the foundation of your patient relationships. You should send an email right after sign-up to introduce your telehealth practice, explain your services, and outline what comes next. This first contact helps build trust and puts new patients at ease.
A complete welcome flow has:
- Practice introduction and service overview
- Staff introductions highlighting expertise
- Patient portal setup instructions
- Health resources relevant to their needs
- Appointment booking options
Personalization drives engagement when you first reach out to patients. To name just one example, if someone shows interest in nutritional support during registration, you can add dietary resources to their welcome email. Patient segmentation by treatment type also helps create messages that resonate better.
Appointment prep checklist
After booking, send a confirmation email and follow up with prep instructions a day or two before the visit. Your email should list everything needed for a successful consultation:
Documents and information to gather (insurance card, medication list, pharmacy details, symptom notes), Environment tips (quiet space, good lighting, privacy considerations), What to wear (appropriate clothing that allows examination if needed)
Studies show that sending multiple reminders helps patients show up prepared. These emails should combine appointment details with prep instructions to give patients a single reference point.
Tech setup and support contact
Technical difficulties often get in the way of successful telehealth visits. Your pre-visit emails should include clear setup instructions about:
- Device requirements (computer/tablet/smartphone with camera and microphone), Internet connection testing guidance (direct link to test connection), Application download instructions if needed, Browser configuration tips
- A test call option or dedicated tech support contact helps reduce anxiety, especially when patients are new to telehealth. Patients should join 15 minutes early to fix any last-minute issues.
What to expect on your first visit
Clear expectations about the telehealth experience lead to better patient satisfaction. Your pre-visit email should explain:
The telehealth appointment process (as with in-person visits), Provider's introduction and credentials, How long the consultation takes, What happens if tech issues come up, Follow-up procedures after the appointment
Patients feel more confident and less anxious when they know what to expect. Tell them how to prepare questions beforehand and take notes during their visit to make the most of their provider's time.
These four pre-visit email components help your telehealth clinic set clear expectations, minimize technical problems, and pave the way for successful virtual consultations.
Care status flows (provider review, approval, shipped, 'what's next')
Patients enter a vital period right after their consultations. Clear communication shapes their care experience. Your email flows should guide patients through provider reviews, approval decisions, medication delivery, and care instructions. This builds confidence in your telehealth services and keeps everything transparent.
Provider review status updates
Patients just need to know that someone is reviewing their case during the evaluation process. Provider review emails help remove the uncertainty that comes with virtual care. These status updates should:
- Acknowledge receipt of the patient's consultation information
- Let them know when the review will be done
- Tell them what happens during reviews
- Give them a clear way to ask questions
Quick updates are a great way to get patient trust—especially when you have virtual appointments instead of face-to-face meetings. These emails work best when they're short but informative. They should sound professional yet easy to understand.
Approval or ineligibility notifications
Patients should know their treatment status right after review. These notifications are the foundations of your healthcare workflow, whether you approve them, ask for more details, or find them ineligible.
Approval emails must spell out the next steps. Messages requesting more information should specify exactly what you need. Ineligibility notices require extra care—explain the medical reasons and suggest other treatment options when possible.
The words you choose in these messages can make or break patient satisfaction. Skip the medical jargon. Use clear, caring explanations that help patients understand why doctors made certain decisions.
Medication shipped confirmation
Patients eagerly wait for their medication after prescription approval. Your shipping confirmation emails can both inform and educate as part of your email strategy. The best medication shipped emails include:
- Tracking details and delivery dates
- How to take the medication (dosage, timing, method)
- Side effects to watch for
- When to expect results
- How to store it properly
These emails do more than just confirm shipping. They teach patients about their medications, leading to better adherence and fewer questions for your support team.
Next steps and care plan access
Patients need a roadmap as their treatment moves forward. Your next steps emails should list:
- Follow-up appointment scheduling
- Ways to track if treatment works
- How to report side effects or concerns
- Steps to view their care plan
- When medication might change
Most telehealth providers include follow-ups in their treatment plans. These appointments let them assess how well prescriptions work and spot any side effects. Your communication should highlight how these check-ins help fine-tune medication if problems come up.
These four core status updates create a smooth patient experience. They reduce anxiety, build trust, and help patients stick to their treatment—three vital elements that lead to successful telehealth outcomes.
Retention flows (week 1–4 guidance, refill reminders via Bask Health)
Healthcare providers face their biggest challenge today: getting patients to take their medications. Nearly 50% of patients with chronic conditions don't take their prescribed medications. This creates health risks and hurts telehealth providers' revenue. The good news is that well-timed email flows can boost patient retention and help them stick to their medication throughout their treatment.
Weekly check-ins and progress tips
The first month sets the foundation for medication habits. Weekly check-in emails serve two purposes during this time: they reinforce treatment benefits and collect vital feedback on patient progress. These messages should align with expected treatment milestones and offer support when patients might feel side effects or doubt if the treatment works.
Research shows that text-based reminders can double medication adherence. Email communications that use behavioral economics help structure therapy sessions and guide patients toward better health choices. These weekly emails should include:
- Validation of common treatment experiences
- Milestone celebrations (even small wins)
- Educational content addressing frequent questions
- Brief feedback surveys to identify concerns
Refill reminders based on treatment cycle
Smart refill reminders are the foundations of good retention systems. Bask Health lets you send automated reminders 7-14 days before predicted refill dates. This gives patients enough time to reorder and maintains continuous medication coverage.
The best refill systems calculate ideal timing based on three factors:
- The original delivery date
- Supply duration based on dosage instructions
- Estimated shipping time for refills
Studies prove this precise timing works. After three months, patients who got text-based medication reminders showed proportion of days covered (PDC) rates 4.8-5.6 percentage points higher than control groups. These patients also cut their median refill gap length by about 5 days.
Behavior-based nudges to stay on track
Good retention flows go beyond simple reminders. They include behavioral nudges—subtle prompts that guide decisions without limiting choices. Telehealth clinics can use these nudges through:
- Congratulatory messages for completed treatment milestones
- Social proof elements showing successful patient outcomes
- Default refill settings that keep treatment going
- Messages about the risks of missing medications
Bask's data platform triggers these communications based on specific patient actions rather than fixed schedules. This approach works well—patients receiving behavior-based text messages showed 44% medication refill rates compared to 30% in control groups.
Note that all medication-related communications must follow HIPAA rules. The Privacy Rule allows refill reminders about current prescriptions. These communications need secure, HIPAA-compliant channels with resilient security measures like encryption and access controls.
These three retention email flows create an automated patient support system. They help patients take their medications and need minimal staff oversight. This shows how marketing automation can boost patient health and business results simultaneously.
Revenue + recovery flows (education, transformation, upsell, win-back)
Patient lifetime value in telehealth goes beyond simple appointment reminders and medication alerts. Your success depends on keeping patients active and bringing them back. Research shows that losing a single patient can cost $200,000 over their lifetime. This makes patient retention and recovery strategies crucial.
Educational content to show value
Your telehealth practice becomes more than a service provider with educational content - it becomes a trusted health resource. Research shows 54% of consumers want to receive educational emails from businesses they trust.
Great educational content for telehealth clinics has:
- Health tips to manage chronic conditions
- Preventive care tips and seasonal wellness advice
- Latest treatment research updates
- Resources for lifestyle support (nutrition, exercise, mental health)
Regular sharing of valuable information keeps you in patients' minds between appointments. It also reinforces your services' benefits. This strategy works best when you tailor content to specific patient conditions or treatment plans.
Success stories and testimonials
Patient success stories create powerful social proof that builds trust in your telehealth services, along with other educational materials. These real-life stories show outcomes that potential patients relate to.
Patient testimonials work great because they address common virtual care concerns. To name just one example, stories can show how telehealth helped patients overcome transport issues, feel less anxious, or stick to their care plans despite busy schedules.
These stories should appear throughout the patient's experience. They work well in both new-patient campaigns and existing-patient communications to remind everyone of your value.
Smart service suggestions based on use
Your telehealth practice should focus on finding real care needs instead of pushing aggressive sales. Timing matters - suggest additional services only after building trust and spotting genuine opportunities.
Successful telehealth service suggestions happen when providers truly believe extra care will help patients. Focus on:
- Natural care progression instead of random add-ons
- Bundled related services at better prices
- Presenting new services as medically sound next steps
- Offering suggestions when patients pay most attention to health decisions
These guidelines help ensure your communications boost rather than hurt patient trust.
Bringing back inactive patients
Patient drop-off happens despite best retention efforts. Bringing back former patients costs far less than finding new ones. This makes recovery campaigns valuable for your email strategy.
Smart recovery sequences target patients who haven't visited in 30, 60, or 90 days with increasingly appealing messages. The best results come from this approach:
- Personal check-in 7-14 days after dropping out
- Value reminder messages at 30-60 days
- Special offers after 90+ days of no activity
Studies show that making 4-5 contact attempts across different channels boosts reactivation rates by 81%. Healthcare providers have brought back thousands of patients in months using automated tracking and outreach tools, leading to substantial revenue recovery.
These four revenue and recovery strategies create a complete system to maximize patient lifetime value. They help turn one-time visitors into long-term healthcare partners.

Mapping Bask Health Data to CIO Flows
At Bask Health, we’ve learned that email automation only works when it’s tied to real workflow events. If your “approved,” “shipped,” or “refill due” segments live in spreadsheets or manual tags, your lifecycle emails drift out of sync fast.
That’s why we pair Bask + CIO to turn static lists into event-driven flows that trigger based on what patients actually do — not what your team hopes is true.
Trigger events that power your CIO flows
We provide care + commerce milestones that CIOs can use as automation triggers, including:
- Intake started / intake submitted
- Consult booked / consult completed
- Provider review approved/needs more info / not eligible
- Order created / payment failed
- Prescription issued
- Shipment status updated
- Refill window opened/refill overdue
- Follow-up due / follow-up completed
This is how you send the right message at the right moment — within minutes of a status change — instead of relying on newsletter-style timing.
Segmentation that stays clean as you scale
As you grow, segmentation gets messy unless it’s anchored to real data. With Bask as the workflow source, you can segment in CIO by:
- Status (approved, shipped, refill due, dropped off)
- Niche / treatment type (GLP-1, TRT, derm, hair)
- SKU / plan (subscription vs one-time, dosage paths, bundles)
- Engagement level (active, inactive, at-risk)
Because segments update based on workflow events, you don’t need hand-maintained lists that go stale every week.
What we remove from your ops workload
When Bask runs the workflow engine, you reduce the need for:
- Manual status tracking across tools
- Hand-updated segments and cleanup work
- One-off “ops emails” sent by humans
- Fragile automation logic that breaks when the journey changes
Bottom line: your CIO flows stay accurate because they’re triggered by real patient movement through care, not guesses.
Example Flow Diagrams
Visual workflow diagrams turn abstract email concepts into practical implementation plans. Telehealth clinics use these mapped processes as communication tools between team members. They help establish realistic performance expectations for each automated sequence.
Timing recommendations for each flow
Healthcare email flows work best when they follow precise timing patterns based on patient behavior and clinical best practices:
Visual mapping of your workflow reveals potential bottlenecks in communication timelines. This helps you optimize patient touchpoints before scaling your automation efforts.
Subject line strategies that boost open rates
Perfect timing is useless without a strong subject line. Skip clever phrasing and focus on straightforward clarity. Subject lines should stay under 50 characters.
Your open rates will improve if you:
- Show value immediately (what patients gain by opening)
- Keep subject lines simple rather than clever
- Skip spam trigger words like "free," "chance," or excessive punctuation
- Personalize when possible (but never include PHI in subject lines)
Your subject line should serve as a clear summary of the email's contents instead of a creative headline.
Compliance notes for HIPAA-safe messaging
HIPAA compliance remains crucial despite advances in automation. Algorithms analyze emails for inappropriate content between your "send" and their "inbox".
Maintaining compliance requires you to:
- Keep Protected Health Information (PHI) out of subject lines
- Use encryption for emails containing PHI
- Let only authorized personnel access email systems
- Keep audit trails of who accessed or sent PHI
Healthcare emails differ from standard marketing. They must balance informative communication with patient privacy. Here's what you can include in healthcare emails:
These guidelines will help your telehealth clinic create email flows that connect with patients while maintaining regulatory compliance.
Templates to Copy
Email templates propel your healthcare marketing strategy. They provide ready-to-deploy communications that save time and ensure consistency. You can copy these proven formats to kickstart your telehealth email automation strategy.
Short-form templates for reminders
Brief yet informative appointment reminders work best. This structure proves effective:
Subject Line: Reminder: Your telehealth appointment on [Date & Time]
Hi [Patient Name],
This is a friendly reminder about your upcoming telehealth appointment with Dr. [Doctor Name]
on [Date] at [Time].
To join your appointment: [Video Link] Please test your connection beforehand: [Test Link]
If you need to reschedule, please call us at [Phone Number] 24 hours before your appointment.
Best regards, [Practice Name]
Concise formats achieve higher response rates for medication reminders:
Subject Line: Time to refill your prescription
Hello [Patient Name],
Your prescription for [Medication Name] is due for refill. You currently have [X days] of medication remaining.
[Refill Now Button]
For questions, contact us at [Phone Number].
[Practice Name]
Long-form templates for education and upsell
Educational emails need a detailed structure to deliver value:
Subject Line: [Health Topic] - What You Should Know
Hello [Patient Name],
Our steadfast dedication to your health drives us to share important information about [Health Topic].
[3-4 paragraphs of educational content]
We offer specialized care for [Condition]. Schedule a consultation to discuss treatment options if you experience [Symptoms].
[Book Appointment Button]
Yours in health, [Provider Name]
Patient benefits should drive ethical upselling communications:
Subject Line: Boost your treatment plan
Hi [Patient Name],
We've identified additional services that could benefit your health based on your current treatment for [Condition]:
- [Service/Product Name]: [Brief explanation of benefits]
- [Service/Product Name]: [Brief explanation of benefits]
[Learn More Button]
Wishing you continued health, [Practice Name]
These templates are the foundations of effective healthcare communications. Adapt them to your specific telehealth processes for maximum effect.
Conclusion
Email isn’t “marketing” in telehealth — it’s the operating system for retention. These 12 flows reduce no-shows, keep patients on track, and protect LTV long after the first conversion.
When you connect Bask Health to CIO, your sequences stop running on manual tags and start running on real patient lifecycle events — consult status, provider review outcomes, shipping updates, and refill windows. That’s how you get automation that’s timely, scalable, and actually feels coordinated.
If you’re going to run ads, launch these flows first. Otherwise, you’re paying for traffic… and then losing patients in silence.
References
- OpenLoop Health. (n.d.). 10 email automations every telehealth program needs. Retrieved December 26, 2025, from https://openloophealth.com/blog/10-email-automations-every-telehealth-program-needs
- MyZHealth. (n.d.). Email marketing benefits for wellness practices. Retrieved December 26, 2025, from https://myzhealth.io/blog/email-marketing-benefits-for-wellness-practices/
- Campaign Monitor. (n.d.). Healthcare email marketing. Retrieved December 26, 2025, from https://www.campaignmonitor.com/resources/guides/healthcare-email-marketing/