Whether you need to turn off birthday texts or fix a reminder that isn't sending, this guide shows you how to manage patient alerts and reminders in ALOHA.
โจ When You Need This Guide
A patient wants to stop getting specific messages (like Birthdays or Feedback).
A patient isn't receiving their appointment reminders.
You see red phone numbers in your system.
You need to see a full list of everyone who has opted out of communications.
You need to opt-in or opt-out a large list of patients at once using a CSV file.
What This Covers (And What It Doesn't)
โ Adjusting individual toggles, viewing opt-out lists, and bulk-updating preferences via CSV.
โ Modifying the actual content or templates of the messages themselves.
Prerequisites/You'll Need:
Access to the Contacts tab in ALOHA.
Patient contact details or a prepared CSV file for bulk changes.
โ How to Adjust Individual Patient Preferences
If a patient asks to change how they hear from you, follow these steps:
Go to Contacts: Click the CONTACTS tab and select Show Contacts.
Find the Patient: Use the search bar to find and click on the patient's name.
Open Settings: This opens their Contact Settings page.
Toggle Preferences: You will see a list of toggles for different types of communication (such as SMS, Email, Appointment Reminders, and Feedback Requests).
Save Your Changes: Turn a switch ON (checkmark) to send that message type, or OFF to stop it.
๐ ๏ธ What if they want to Opt Back In?
In ALOHA, a red phone number means the system cannot send texts to that contact. This usually happens if the number is a landline, disconnected, or the patient opted out.
Verify the Number: Confirm the number includes an area code and is a mobile phone. If you update it in your EHR, wait 24 hours for it to sync.
Manual Edit: If after 24 hours, the phone number has not updated in ALOHA, go to the patient profile in ALOHA andvclick Edit button above their to change the number manually. Refresh after 5 minutes to confirm it stays.
Check Delivery Status: Look at the message history. If the last message bubble is blue, it was successfully delivered on our side. The issue is likely on the patient's device.
The "START" Text: Ask the patient to text the word START to your office number and confirm your number isn't on their phone's "Blocked" list.
Refresh the Device: Ask the patient to restart their phone and ensure their messaging app is updated. This often clears up network connection gaps.
๐จ Is EVERY message red? If you notice that all outgoing messages are appearing in red, this likely indicates an office-wide connection disruption. This most often happens if you have recently changed phone providers. If this is happening, please contact ALOHA Support for assistance.
โ View the Full Opt-Out List
To see everyone who has opted out so you can review your records:
Navigate to Contacts: Go to Contacts > Show Contacts.
Open Filters: Click the Filter icon on the top right of the screen.
Filter by Opt-Outs: Use the Opt-outs drop-down menu.
Select Your View: Choose Email Opted-out, Phone Opted-out, or both to see your filtered list.
โ Manage Opt-Ins or Opt-Outs in Bulk (CSV Upload)
If you have a list from another system, you can update many patients at once. Just be sure the data matches your EHR exactly!
Prepare Your File: Create a spreadsheet with First Name, Last Name, Phone, and Email. Save it as a CSV (Comma Delimited) file.
Go to Import: Navigate to the CONTACTS tab and click on Import CSV.
Choose Data Type: Select Contact Data Only.
Apply Action: From the dropdown, select Opt-in Email/Phone or Opt-out Email/Phone.
Upload and Map: Click Pick CSV File to upload your document. Match your spreadsheet columns to the ALOHA fields.
Start Import: Click Import CSV to process the changes.
Check out this article for more details on CSV uploads.
๐ก Common Questions
What You Might Notice | Why It's Happening | What to Do |
Manual texts work, but reminders don't. | The patient may be opted out of "Auto" messages, but not "Manual" ones. | Follow the "Re-Enable" steps above to turn auto-reminders back on. |
Contact info is highlighted in red. | The system flagged the info as opted-out or an invalid landline. | Verify the number is mobile and follow the Opt Back In steps above. |
Info in ALOHA doesn't match the EHR. | The daily sync hasn't happened yet. | Wait 24 hours for the sync. |
Toggles are ON, patient texted START, and messages are Blue, but still not arriving. | The message left ALOHA and was delivered successfully, but the patient's device or carrier is filtering it. | Have the patient check their blocked contacts and restart their phone. |
๐ You'll Know It's Working When:
The toggles stay in the correct position after you refresh the page.
Patients confirm they are only receiving the messages they asked for.
Your filtered Opt-out list gets shorter as you re-enable patients.
๐ฌ Need Help? We're Here!
Still having trouble with patient reminders or need additional help?
Call us at (800) 563-0469 or email us at support@getaloha.com.



