Text check-ins and secure visit recaps for developmental follow-up families · not for urgent concerns — in an emergency, call 911
Between VisitsCare team

The calm bridge between developmental follow-up visits

After a clinic visit, families get a secure text link to their child's plain-language recap — the main takeaway, top next steps, and each specialist's instructions — followed by a few short check-ins. The care team sees only the exceptions that need attention before the next visit.

Example families below are illustrative — no real patient information is shown.

The gap

Six months of silence between visits

Children in developmental follow-up may see six or more specialists in a single visit, then not return for three to twelve months. Families leave with a stack of paper and little support in between. The caregivers who need the most help — facing income, transportation, or language barriers — are the ones most likely to fall through the cracks, and the care team has no low-effort way to learn about problems before the next appointment.

How it works

Two low-burden surfaces

For families

  • A secure text link opens the recap — no app, no login, no password to forget.
  • Main takeaway and top next steps first, then each specialist's plain-language instructions in tabs.
  • Save notes and questions for the next visit; switch to Spanish with one tap.
  • A few short text check-ins — reply with a number, that's it.

For the care team

  • Exception-based flags only — no new inbox, no message triage.
  • Deterministic rules surface low confidence, barriers, or therapy delays.
  • A one-screen pre-visit summary: confidence trend, active barriers, notes, questions.
  • No duplicate charting — recap content comes from the after-visit summary the team already writes.

Privacy & safety

No personal health information ever travels by text

The text-message program

How caregivers opt in

  1. 1.On this website: a caregiver enters their own mobile number on the opt-in page and checks a consent box (unchecked by default) to agree to text check-ins.
  2. 2.By text: a caregiver texts JOIN to the program number and receives a confirmation message.
  3. 3.In clinic: a caregiver provides their number and consents in person during enrollment.

Consent is never a condition of care. Message frequency is low — about seven check-ins per family over the months between visits, plus replies to messages you send us. Message and data rates may apply. Reply STOP to opt out or HELP for help at any time.

Example messages

Between Visits: your child's recap from today's clinic visit is ready. See it here: [secure link] — Did the plan make sense to you? Reply 1 = yes, 2 = mostly, 3 = not yet.

Between Visits check-in: how confident do you feel about your child's plan right now? Reply with a number from 1 (not at all) to 5 (very confident).

Toward a pilot

What a funded pilot would measure

Link-open rate

Do families open the recap?

Response rate

Do they answer the check-ins?

Barriers surfaced

Transportation, cost, language, stress.

Visit preparedness

Do teams walk in better prepared?

The alpha runs on synthetic data with a simulated messaging layer. The architecture is built so a pilot can add real SMS, Epic after-visit-summary ingestion, hospital single sign-on, and HIPAA-eligible hosting without re-architecting — each already has a defined seam in the codebase.