Workstream A

The full email programme

8 flows, 38 messages, mapped to the patient lifecycle. Structure adapted from a proven eight-flow library; the discounting was removed, because the practice's position is that the price does not move and one urgency email would contradict the entire website.

← Back to the proposal

Rules binding every flow

Consent, quiet hours, unsubscribe

Consent is captured and stamped. Separate opt-in states for appointment communication and for marketing, each recorded with date, time, source and IP on the contact. Contacts with no recorded consent receive no marketing; they may receive one plainly worded re-permission message, and silence is a no.

Quiet hours are absolute. No marketing SMS before 8:00 am or after 9:00 pm, workflow timezone pinned to America/Phoenix. Arizona does not observe daylight saving, so a "contact timezone" setting would send at the wrong hour for half the year.

Unsubscribe is one click and honoured across every channel within the hour, written to a master suppression list that no future import can resurrect. Physical address in every marketing email. Transactional appointment mail is exempt under CAN-SPAM and carries it anyway.

What never appears

No discount, no coupon, no price promotion, in any flow, ever. This is the single largest departure from the source library, six of whose eight flows end in a coupon.

No manufactured deadline. Every deadline in this programme is real: a twenty-minute slot hold, a forty-eight-hour reschedule window, a ninety-day fee credit, a clinical recall interval.

No health or treatment outcome claims. No before-and-after imagery. No patient testimonials. Proof is the practice's standards and its refusals.

No clinical detail in any merge field. Interest category and appointment logistics only. The chart stays in the EMR.

Any inbound reply pauses every running sequence on that contact instantly, and raises a task for the owner. An automation talking over a live conversation destroys more trust than the programme saves.

F1 · Interest, before enquiry

Assessment abandoned

Triggerscan_started = true AND scan_completed = false, 30 minutes elapsed
ExitAssessment completed, appointment booked, any reply, or unsubscribe
PipelineP1 · stage 2. No opportunity value is set, because interest is not an enquiry.
Messages6
  1. Email

    You stopped at question three

    Alt subject: Your assessment is still open

    You started the assessment and did not finish. No harm done, and nothing has been sent to the practice.

    It runs to four questions and takes about four minutes. The reason it exists is so Dr. Morgan reads your case before you sit down, rather than spending your first ten minutes on paperwork.

    One honest catch: your answers are held in this browser only. Close the tab and they are gone.

    Finish the assessment

  2. Email

    The question most people stall on

    Alt subject: Question four is the one that matters

    Most people stop at the recovery question, and it is the one that changes the recommendation more than any other.

    If your answer is that you cannot afford any visible downtime, say so. It does not narrow what we can discuss. It narrows what we would sensibly recommend, which is the point.

    Pick up where you left off

  3. Email

    What happens after you finish

    Alt subject: The whole sequence, plainly

    So you know what you are agreeing to: the assessment produces a matched starting point on screen. You choose a time. You come in for forty-five minutes with Dr. Morgan, and you leave with a written, sequenced, priced plan.

    Finishing the questions commits you to nothing and costs nothing. Payment only happens if you decide to book.

    See your starting point

  4. Email

    Who reads your assessment

    Alt subject: Not a coordinator

    Dr. Morgan reads every assessment himself, before the appointment. There are no delegated first consultations here.

    It is the least efficient thing the practice does, and it is the reason the plan you receive is worth reading.

    Finish the assessment

  5. Email

    The seven questions to ask any aesthetic practice

    Alt subject: Useful whether you come to us or not

    Nothing for sale today. This guide is genuinely useful wherever you have your treatment, and it includes the two questions this practice finds least comfortable.

    Who performs the treatment. Who wrote the plan. What happens if it goes wrong. Four more inside.

    Read the guide

  6. Email

    Closing your assessment

    Alt subject: A clean ending

    This is the last message from this sequence. Your partial answers are deleted today.

    If the timing was simply wrong, start again whenever you like. If it is easier to talk to a person, the clinical team answers the phone directly.

    Start again when you are ready

F2 · Enquiry, mid-booking

Booking abandoned

TriggerSlot selected, payment not completed within 20 minutes
ExitPayment clears, or the hold releases at 24 hours
PipelineP1 · stage 3, tag book-unpaid. Front desk owns the card.
Messages4
  1. Email

    Your appointment is held, not booked

    Alt subject: One step left

    A plain report: your time is reserved but not confirmed. The reservation is a courtesy rather than a vault, and it blocks a slot somebody else is asking for.

    If a card problem stopped you, reply to this message and a person will fix it today.

    Complete your booking

  2. Email

    May I guess what stopped you?

    Alt subject: Four honest guesses

    The fee. It is $150, it buys forty-five minutes of physician time and a written plan, and it is credited in full against any treatment booked within ninety days.

    A card that would not go through. Reply and we will sort it today.

    Second thoughts about the treatment itself. Worth saying that this appointment is an assessment, not a commitment to anything.

    Or life simply interrupted, which needs no explanation at all.

    Confirm your time

  3. Email

    The honest state of your appointment

    Alt subject: Your hold releases tomorrow

    Your hold releases tomorrow and the time returns to the open calendar. No manufactured panic and no hidden arithmetic; Saturdays simply go first.

    If you want it, it is one step. If you do not, that is an honest no and we part as friends.

    Confirm before it releases

  4. Email

    Your hold has been released

    Alt subject: No charge was made

    Your reserved time has returned to the calendar and no charge was made at any point.

    Two times are genuinely open this week if you would still like to come in. Otherwise the practice will not contact you again about this booking.

    Choose a new time

    A call task is raised for the front desk at this point. The email does not replace the call.

F3 · Booked, pre-appointment

Consultation booked

TriggerAppointment confirmed and fee paid
ExitAttended, cancelled, or marked no-show
PipelineP1 · stage 4. This flow carries the no-show recovery branch at the end.
Messages6
  1. Email

    Confirmed: your time with Dr. Morgan

    Alt subject: Everything you need for the day

    Confirmed for your chosen time. The address, the parking entrance, and the floor are below, along with a calendar invitation.

    Bring a list of any current medications, and whatever record you have of previous treatment, including product names and dates if you know them.

    Come without makeup, or arrive fifteen minutes early to remove it. The assessment needs bare skin under standardized lighting.

    Add to your calendar

  2. Email

    A note before your appointment

    Alt subject: From Dr. Morgan

    A short note from Dr. Morgan on what he has read from your assessment, and one or two things worth thinking about before you come in.

    You do not need to prepare answers. It simply means the forty-five minutes start on your actual question.

    Read what to expect

    The highest-value message in the programme. Patients who hear from the physician beforehand arrive prepared and attend more reliably.

  3. Email

    How to prepare, briefly

    Alt subject: Short, and worth reading

    Sun avoidance from today. Pause any retinoid or acid for forty-eight hours. Bring the medication list.

    That is the whole preparation. Anything more specific to you will have been said already.

    See the full preparation notes

  4. SMS

    Tomorrow at your time. Please confirm.

    Reminder for tomorrow. Reply YES to confirm, or use the link to move it. Free to reschedule up to 48 hours before.

    Reschedule

    A patient who actively confirms attends far more reliably than one who has merely been reminded. No reply by 24 hours raises a call task, not another text.

  5. SMS

    Parking is under the building, entrance on Marshall Way.

    Final reminder. Second floor. See you shortly.

    Get directions

  6. Email

    We missed you this afternoon

    Alt subject: Two times that might work better

    We had you down for this afternoon and missed you. Your fee is held, nothing is lost, and there is nothing to explain.

    Two alternative times are open this week if either suits.

    Pick a new time

    Never mentions the fee as a penalty, the policy, or the inconvenience. People miss appointments because they are embarrassed, frightened or overwhelmed, and a message that adds to any of those closes the door permanently.

F4 · Consulted, deciding

After the plan

TriggerConsultation attended and plan issued. Branch selected by the objection tag.
ExitTreatment booked, declined, or 21 days elapsed
PipelineP2 · stages 2 to 3. The largest recoverable revenue in the practice.
Messages6
  1. Email

    Your plan, as discussed

    Alt subject: Nothing else in this message

    Your written plan is attached, exactly as discussed. Sequenced, priced, and yours to keep.

    Take it to another physician if you would like a second opinion. We would rather you did than proceed unsure.

    Open your plan

  2. Email

    The thinking behind the order

    Alt subject: Why the sequence runs that way

    A short note on why the plan is ordered the way it is: what has to happen first for anything after it to work, and what can safely wait a year.

    The order matters more than the individual items, which is the part most plans leave out.

    Read the reasoning

  3. Email

    Branch content begins

    Alt subject: Selected by the objection tag

    This message and the next are chosen by the concern recorded before you left the room. The six branches are set out below.

    Varies by branch

  4. Email

    Branch content, second piece

    The second piece of the same branch. Different angle, same concern.

    Varies by branch

  5. Email

    One question

    Alt subject: Direct and human

    One question, and a real person reads the reply: what is the one thing still unresolved?

    If the answer is that you have decided against it, that is genuinely useful to know and the sequence stops today.

    Reply to this message

  6. Email

    Your plan stays valid

    Alt subject: A clean close

    Last message from this sequence. Your plan does not expire, the price does not change, and nothing needs to be decided by a date.

    When you are ready, the practice is here. If you would rather not hear from us, one click below and you will not.

    Book when you are ready

    No deadline, no discount, no scarcity. The website says the price does not move; one urgency email would contradict the whole site.

The six branches, chosen in the room

Dr. Morgan sets one objection tag before the patient leaves. It takes about ten seconds and it decides which two messages send on days three and seven. No tag raises a task rather than guessing, because the wrong branch is worse than a delay.

TagConcernWhat the branch answers
obj-pricePriceThe plan sequenced into stages, the cheapest useful first step, the Maintenance Plan as a structure rather than a discount, and third-party finance mentioned once as a footnote.
obj-fearFearHow the treatment is actually performed, what the physician does if it goes wrong, reversal and management, and an offer to talk it through by phone.
obj-timingTimingRecovery calendars mapped against the date the patient named, and the honest lead times for anything staged.
obj-recoveryRecoveryDay by day recovery reality, what can be worked through and what cannot.
obj-partnerPartnerWritten to be forwarded, and to be read by someone who was not in the room.
obj-unsureUnsureThe plan restated in plainer language, plus a no-charge fifteen-minute call.

F5 · All consented contacts

The standing letter

TriggerFortnightly to consented contacts with no open sequence
ExitUnsubscribe, or enrolment in any other flow
PipelineNo pipeline. Audience building only.
Messages2
  1. Email

    One question, answered honestly

    Alt subject: Under 400 words

    One question per letter, answered properly and in under four hundred words. Nothing for sale in three letters out of four.

    Sample subjects: why pigmentation comes back; what downtime actually looks like day by day; the treatments we decline most often; how to read a treatment plan; when the honest answer is a surgeon.

    Read the letter

    The reference library sends daily. A medical practice sending daily promotional mail would be both irritating and reputationally wrong.

  2. Email

    Resend to unopens

    Alt subject: New subject line only

    Same letter, new subject line, sent only to those who did not open. Kept from the reference library because it works and costs nothing.

    Read the letter

F6 · Enquiry, unworked

Enquiry, no reply

TriggerEnquiry received, first response delivered, no reply for 24 hours
ExitAny reply, any booking, or closed as no-response at Day 21
PipelineP1 · stage 2. Six touches, three channels, then it stops.
Messages6
  1. SMS

    Something useful, not a chase

    One genuinely useful piece of information related to what you asked about. No request attached.

    Read it

  2. Email

    Why there is no same-day treatment

    Alt subject: The one thing he will not bend on

    Dr. Morgan sees everyone before treating them, and first-time injectable patients are booked on a separate day.

    Said plainly because it is the most common reason people choose this practice, and occasionally the reason they choose another.

    See how it works

  3. SMS

    Can I answer one question by phone?

    A direct offer to answer one question, by phone, with the clinical team rather than reception. Two minutes.

    Call the practice

    This touch outperforms every automated alternative in the sequence.

  4. Email

    Last scheduled message

    Alt subject: The door stays open

    This is the last scheduled message. Nothing expires and nothing changes if you come back in six months.

    Start the assessment

  5. Email

    A clean exit

    Alt subject: Easy to leave

    If this is not for you, one click and the practice will not contact you again.

    Unsubscribe

  6. Email

    Closed

    Alt subject: Internal only

    Opportunity closed as no-response and routed to reactivation. No further message is sent.

    None

F7 · Active member

Members only

Triggermembership_state = Active
ExitMembership cancelled
PipelineP5 · Membership and Retention
Messages4
  1. Email

    Your credit balance, and one useful thing

    Alt subject: Short

    Your accrued credit, which does not expire, and a booking link. Plus one useful thing, briefly.

    Book your next appointment

  2. Email

    Before anyone else hears of it

    Alt subject: Genuinely first

    First access to new clinic hours and to any new device or service, genuinely before public announcement.

    This is the one place in the whole programme where "before anyone else" is literally true, so it is the one place it is said.

    See what is new

  3. Email

    Your skin examination is due

    Alt subject: Included in your plan

    Your annual skin examination is included. Thirty minutes, dermoscopy, findings in writing.

    Book your examination

  4. Task

    Coordinator call task

    Alt subject: Not an email

    Triggered by a failed payment, no appointment in 120 days while paying, two consecutive cancellations, or unused credit above $600.

    This produces a call task for the coordinator, deliberately not an email. Reaching a member at 120 days is retention. Reaching them at cancellation is an argument.

    Internal task

F8 · Lapsed, dormant, lost

Reactivation

TriggerEntry into a P4 segment, split on treatment history, recency, value and reason for leaving
ExitBooked, or suppressed
PipelineP4 · Reactivation
Messages4
  1. Email

    Your maintenance interval has passed

    Alt subject: Clinical relevance, not an offer

    Your interval for the treatment you had has passed. This is a due date rather than a promotion.

    What is appropriate may also have changed since you were last examined, which is worth half an hour of anyone's time.

    Book an assessment

    No discount in this touch or the next. Leading with a discount trains exactly the behaviour this practice has spent years unlearning.

  2. Email

    Something useful for your treatment

    Alt subject: Specific to what you had

    Genuinely useful and specific to your treatment category. No request attached.

    Read it

  3. Email

    Would you like to be reassessed?

    Alt subject: A personal invitation

    A direct invitation to come in and be reassessed, written to be read by a person rather than a segment.

    Book an assessment

  4. Email

    A clean exit

    Alt subject: Easy to stay, easier to leave

    Last message. Staying subscribed is easy and leaving is easier, and your record stays yours either way.

    Unsubscribe

Build order, and what to measure

PhaseFlowsWhy here
1F3, F2Money already in motion. Protects booked revenue from week one
2F6Speed to lead, the largest single leak
3F1Assessment recovery, cheap and immediate
4F4The biggest revenue recovery in the programme
5F5, F7Retention and standing audience
6F8Last, once the journey behind it can hold the volume
Four numbers, not open rates. F2 recovery rate. F3 attendance rate. F4 conversion at 30 and at 90 days, where the gap between the two is the dollar value of the flow. F8 revenue, isolated from new acquisition. Delivery and open rate are hygiene, not results.

Reactivation is deliberately last. It usually pays for the whole engagement, and running it into a broken booking process wastes the one asset that cannot be rebought. The sending domain is warmed for two weeks first, and volume is capped at 400 per day in month one.