New-patient calls hit voicemail
Someone in pain calls during a full treatment column, gets voicemail, and books with the clinic down the road.
For chiropractic & physical therapy clinics
Front desks miss calls during adjustments and treatments — often when a new patient in pain is ready to schedule. Cognautic can configure AI phone coverage for agreed hours and overflow, capture approved intake details, run consent-aware reactivation for lapsed patients, and write to supported practice systems, with human handoff and failure visibility.
Scoped call lanes. Supported integrations. Customer-owned patient records.

The empty-slot math
A missed new-patient call and a mid-plan drop-off both cost scheduled treatment time. We start by measuring your actual missed-call, cancellation, and reactivation baseline rather than assuming every call would have booked.
The old way
Someone in pain calls during a full treatment column, gets voicemail, and books with the clinic down the road.
A patient stops booking halfway through a plan of care and nobody at the desk has time to follow up.
Hundreds of past patients who could return for a check-in sit untouched in the system.
Insurance and injury notes scribbled on a pad never make it into Jane, so follow-up slips.
What we build for clinics
We start with the biggest measured leak — often missed new-patient calls and mid-plan drop-offs — then connect intake, reminders, and reviews into one system you watch from a single screen.
Handles approved scheduling, hours, and new-patient questions, captures reason-for-visit and insurance basics, and offers supported booking or human handoff. It does not give clinical or medical advice.
When a supported missed-call event is received, a consent-aware text can go out and route the reply for follow-up.
Approved intake fields can create or request an appointment in the connected system after fields and conflict behavior are tested.
Eligible lapsed or plan-of-care-lapsed patients can enter a bounded reactivation program; replies and suppression status determine whether a human receives a task.
Consent-aware confirmations and reminders can support attendance; open slots can be offered to eligible waitlist patients under your rules.
After a completed visit, every eligible patient gets the same neutral review request. A separate support path captures issues without filtering who can leave a public review.
The agent in action
We configure the agent from your services, providers, hours, insurance basics, and scheduling rules. It handles routine scheduling and intake calls and captures the details; clinical questions and anything outside scope go to your team.
Adjustments, evaluations, dry needling, PT sessions — it asks the approved questions for the visit type in front of it.
Uses the connected system's providers, availability, and conflict rules before confirming.
A worsening symptom, a treatment question, an insurance dispute — those go to a human with the call summarized.

Works with your stack
Where supported access is available, the agent and workflows can connect to your existing practice-management or EMR platform without replacing it.
It uses an approved clinic voice and stays within the configured lane. We design disclosure and recording notices around the applicable rules and your policy; callers should not be misled where disclosure is required. Clinical or out-of-scope calls are handed off or captured for human review.
When the practice system exposes the required scheduling APIs, appointments and patient records can be created there. We test its providers, availability, and conflict behavior before launch; no integration can honestly promise that scheduling conflicts are impossible, so exception monitoring stays part of the setup.
Eligible lapsed patients enter bounded, consent-aware sequences with opt-out, quiet hours, suppression, and human-review rules. Delivery timing depends on the connected messaging providers, and clinical judgment about who should return stays with your clinicians.
Customer-owned patient records stay in your practice system. Recording, transcription, retention, and access follow your policy and the selected providers. PHI handling and any required agreements are the clinic's responsibility; the agent does not make clinical decisions and is not a substitute for your compliance review.
Customer-owned phone numbers, practice-management and EMR accounts, and patient records stay in your name. Recording, retention, export, and porting options follow the selected providers. Cognautic-hosted runtime may stop when service ends, so the written exit plan identifies what remains and what must migrate.
Free consult
Tell us about your clinic and request a free consult. We'll map where new-patient calls, cancellations, and reactivation are slipping, and show you the smartest first system to build. No pitch, no pressure.