GoHighLevel's SMS and phone system helps dental practices reduce no-shows and capture more leads through automated text messaging and missed call follow-ups. You can set up two-way SMS, automated appointment reminders, and missed call text-back in about 30 minutes using GHL's built-in phone system.
Patient no-shows cost dental practices an average of $200-400 per missed appointment, and most new patient calls that go to voicemail never call back. GHL's SMS system solves both problems by sending automatic confirmation texts and catching missed calls with instant text follow-ups. The platform includes everything you need without paying separate fees to services like Twilio or SimpleTexting.
What is GoHighLevel's SMS & Phone System for Dental Practices
GoHighLevel's SMS and phone system is a complete communication platform that handles both text messaging and phone calls from one dashboard. You get two-way SMS conversations, missed call text-back, outbound calling with a power dialer, call recording, and ringless voicemail drops all connected to your patient CRM.
The system works differently than standalone SMS services because every text message automatically logs to the patient's contact record. When someone texts about rescheduling their cleaning, you see their appointment history, insurance info, and previous conversations right in the same screen. This beats juggling between your practice management software and a separate texting app.
For dental practices, the missed call text-back feature delivers the highest return on investment. When a potential patient calls during lunch or after hours and gets voicemail, the system immediately sends a text saying something like "Hi, this is Sarah from ABC Dental. i just missed your call. How can i help you?" Most people will text back within minutes, turning a lost lead into a scheduled consultation.
The platform includes A2P 10DLC registration which is required for business texting to ensure your messages actually get delivered. Many practices struggle with texts going to spam or not delivering at all because they skip this step. GHL walks you through the registration process, though it takes 2-3 weeks to complete, so start early.
How to Set Up Your Dental Practice Phone Number in GHL
Setting up your phone number takes about 5 minutes through GHL's LC Phone system. Go to Settings > Phone Numbers and click "Buy Number" to choose between local, toll-free, or transferring your existing number.
Step-by-step phone number setup:
- Navigate to Settings > Phone Numbers in your GHL dashboard
- Click "Buy New Number" and select your area code or toll-free option
- Choose a number that's easy for patients to remember (avoid too many repeating digits)
- Complete the purchase for $2/month per number
- If transferring an existing number, click "Port Number" and provide carrier details
- Wait 24-48 hours for number activation and testing
Local numbers work better for dental practices than toll-free because patients trust local businesses more. If you're in Phoenix, get a 602 or 480 number. Patients are more likely to answer calls from familiar area codes, especially for appointment confirmations.
The number porting process takes 3-5 business days if you're moving your existing practice number. You'll need your current carrier account number and PIN. Don't cancel your old service until the port completes successfully, or you'll lose the number permanently.
Pro tip: Buy your number on a Friday so any issues get resolved before your busy Monday schedule. Test both inbound and outbound calling before announcing the number to patients.
How to Configure Missed Call Text-Back for New Patient Inquiries
Missed call text-back automatically sends a text message when someone calls and you don't answer within 4 rings. This feature alone captures 60-70% of calls that would otherwise become lost leads, especially during busy patient hours or lunch breaks.
To set this up, go to Settings > Business Profile and scroll down to the "Missed Call Text Back" section. Enable the feature and write a personal message that sounds like it's coming from a real person, not a robot. Something like "Hi! This is Jessica from SmileCare Dental. i just missed your call. What can i help you with today?"
Missed call text-back configuration:
- Go to Settings > Business Profile
- Scroll to "Missed Call Text Back" and toggle it on
- Set the ring duration to 4-5 rings (about 20-25 seconds)
- Write your auto-reply message (keep under 160 characters)
- Always include your name and practice name
- Test by calling your number from a different phone and letting it ring
The message should identify who you are immediately. Patients get nervous when random numbers text them, especially about medical appointments. i always start with "Hi! This is [Name] from [Practice Name]" so they know it's legitimate.
Keep your message under 160 characters to avoid it splitting into multiple texts. Longer messages cost more and look unprofessional when they arrive in pieces. Test your message length in the GHL preview before saving.
Set the ring duration to 20-25 seconds (about 4-5 rings). This gives you time to actually answer during patient appointments while still catching calls when you're genuinely unavailable. Too short and it fires while you're grabbing the phone. Too long and the caller hangs up before the text sends.
How to Set Up Two-Way SMS Conversations with Patients
Two-way SMS conversations work like texting with friends, except all messages automatically save to each patient's contact record. Patients can text appointment questions, and you respond directly from the Conversations tab in GHL without switching between apps.
The Conversations dashboard shows all your text threads in one place, similar to your phone's messaging app but connected to your patient database. When Mrs. Johnson texts about her crown appointment, you see her treatment history, insurance details, and notes from previous visits right next to the conversation.
Setting up two-way SMS conversations:
- Click Conversations in your main GHL navigation menu
- Your SMS-enabled phone number automatically appears as a messaging channel
- Test by texting your practice number from your personal phone
- The message appears in Conversations > SMS with the contact's full profile
- Click the conversation to reply directly
- All messages automatically log to the contact's timeline
Each conversation shows the patient's complete contact profile on the right side. You see their appointment history, notes, custom fields, and any workflows they're enrolled in. This context helps you give better responses without asking patients to repeat information.
The mobile app works great for responding to patient texts when you're not at your computer. You get push notifications for new messages and can respond from anywhere in the office. The conversation history syncs between desktop and mobile instantly.
Pro tip: Create saved replies for common questions like "What insurance do you accept?" or "What's your cancellation policy?" This saves time and ensures consistent messaging across your team.
How to Create Automated SMS Appointment Reminders
Automated appointment reminders reduce no-shows by 40-50% compared to phone calls alone, and they require zero staff time once configured. You can send confirmation texts immediately after booking, reminder texts 24 hours before, and final reminders 2 hours before the appointment.
The key is setting up a workflow automation that triggers based on appointment data. i covered the complete workflow setup in my guide to GHL workflows for dental practices, but here's the SMS-specific configuration you need.
Creating appointment reminder workflows:
- Go to Marketing > Workflows and click "Create Workflow"
- Choose "Appointment Booked" as your trigger event
- Add a "Wait" step for 24 hours before appointment
- Add "Send SMS" action with your reminder message
- Include appointment details using merge fields like {{appointment.start_time}}
- Add another wait step for 22 hours (2 hours before appointment)
- Add final "Send SMS" reminder with confirmation request
- Test with a fake appointment booking
Your reminder messages should include specific appointment details and make it easy to confirm or reschedule. Something like "Hi {{contact.first_name}}! Your dental cleaning is tomorrow at {{appointment.start_time}} with Dr. Smith. Reply YES to confirm or RESCHEDULE if you need to change it."
The merge fields automatically populate with each patient's information. {{contact.first_name}} pulls their name, {{appointment.start_time}} shows the time, and {{appointment.calendar_name}} displays which provider they're seeing. This personalization makes the texts feel human, not robotic.
Set up different reminder sequences for different appointment types. New patient consultations might get 3 reminders (3 days, 24 hours, 2 hours) while routine cleanings only need 2 (24 hours and 2 hours). Root canal appointments probably deserve extra confirmation given their importance and cost.
Important: Always include opt-out language like "Reply STOP to opt out" in your automated messages. This is required by law and prevents patients from marking your texts as spam.
How to Set Up Dental Recall and Follow-Up SMS Campaigns
Recall campaigns automatically text patients when they're due for cleanings, checkups, or treatment follow-ups. Instead of having staff manually call through a recall list, the system sends personalized texts based on their last appointment date and recommended intervals.
The most effective recall campaign starts 2 weeks before their due date with a friendly reminder, followed by more urgent messages if they don't respond. Most dental practices see 35-40% response rates from SMS recall campaigns compared to 10-15% from phone calls.
Setting up automated recall campaigns:
- Create custom fields for "Last Cleaning Date" and "Recall Interval" in Contacts > Custom Fields
- Build a workflow triggered by date-based conditions
- Set trigger for "Last Cleaning Date + 5.5 months" (for 6-month recalls)
- Add SMS action: "Hi {{contact.first_name}}! It's time for your 6-month cleaning at ABC Dental. We have openings next week. Reply YES to schedule!"
- Wait 1 week, then send follow-up if no response
- Add final message after another week with phone number to call
- Test with contacts who have past cleaning dates
The recall intervals should match your practice's recommendations. Some patients need cleanings every 3 months due to gum disease, while others can go 9 months. Use custom fields to track each patient's specific recall schedule instead of assuming everyone is on 6-month intervals.
Follow-up campaigns work great for treatment plans that patients haven't scheduled. If someone got a treatment plan for crowns 3 months ago but never booked, send a gentle text asking if they have questions or need help with insurance pre-authorization.
Post-treatment follow-ups show patients you care about their recovery and catch problems early. Send a text 24 hours after extractions, root canals, or implant surgery asking how they're feeling. Most patients appreciate the personal touch, and it reduces emergency calls.
How to Use the Power Dialer for Patient Outreach Calls
The power dialer streamlines outbound calling by automatically dialing through lists of contacts and logging all call outcomes. You can use it for insurance verification calls, treatment plan follow-ups, or confirming complex appointments that need more explanation than a text.
Unlike regular phone calls, the power dialer automatically logs when calls are answered, go to voicemail, or get busy signals. It also can drop pre-recorded ringless voicemails without the phone actually ringing, which works well for non-urgent appointment reminders.
Setting up power dialer campaigns:
- Go to Marketing > Campaigns and click "Create Campaign"
- Choose "Call Campaign" as your campaign type
- Select your contact list (insurance verification needed, treatment plans, etc.)
- Choose your calling number from the dropdown
- Set calling hours to match your office schedule
- Record your voicemail message or upload an existing file
- Configure call outcomes (answered, voicemail, callback requested)
- Launch the campaign and start dialing
The system automatically moves to the next contact when calls go to voicemail or get busy signals. You can set it to wait 5-10 seconds between calls to give yourself time to take notes or update the patient's record.
Call recording is built-in and helps with training new staff or documenting important conversations about treatment plans. Make sure you're following your state's consent laws for call recording. Some states require both parties to consent.
Ringless voicemails work great for appointment confirmations because they don't interrupt patients during work hours. The voicemail appears in their inbox without their phone ringing. This works better than regular robocalls that patients often ignore or find annoying.
You can start your free 14-day GHL trial to test the power dialer with your current patient lists and see how it compares to your existing calling process.
How to Integrate SMS with Your Complete Dental Practice Workflow
SMS works best when it's part of a complete patient communication system, not just standalone text messages. You want texts to trigger based on appointment bookings, treatment plan presentations, payment schedules, and review requests to create a seamless patient experience.
The integration starts with connecting your appointment scheduling system to GHL through Zapier or direct API connections. When patients book online or staff schedule in your practice management software, it automatically creates contacts in GHL and starts the appropriate SMS workflows.
Complete workflow integration setup:
- Connect your practice management software to GHL via Zapier
- Set up appointment booking workflows that trigger SMS confirmations
- Create treatment plan follow-up sequences for unscheduled work
- Build review request workflows 3-5 days after completed appointments
- Set up birthday and dental health awareness campaigns
- Connect payment processing to trigger thank you messages
- Create referral request workflows for happy patients
- Test each workflow with real patient data
The review request sequence is particularly valuable because it asks for reviews when patients are most satisfied. Send a text 3 days after a successful cleaning asking how everything went, then follow up with a Google review request if they respond positively.
Payment reminder texts should go out 3 days before due dates, not after they're late. Late payment texts feel aggressive and damage relationships