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One workflow. Zero no-shows.
Happy patients.

A complete appointment booking system for a dental practice — built in n8n, powered by OpenAI, connected to HubSpot. This is the workflow we delivered in 5 days.

n8n OpenAI HubSpot Twilio SMS 5-day delivery

The full automation flow

TRIGGER Patient submits booking form AI Intent Classification New booking / Question / Cancellation CRM HubSpot Sync Create or update contact record CALENDAR Check Availability Google Calendar / Acuity BRANCH Slot Available? Yes → confirm · No → suggest time SMS Appointment Reminder Twilio · 24h & 1h before AI REPLY Claude processes Natural language responses RESCHEDULE Cancellation Flow Suggest next slot · Free slot list DONE Practice Dashboard Live stats · No-show rate tracked n8n workflow · 8 nodes · 3 branches
Trigger / End state
HubSpot CRM
Calendar check
AI processing
Cancellation flow

Smile Dental Practice, Munich

31%
reduction in no-shows
4.2h
reception time saved per week
98%
patient confirmation rate
5 days
from kickoff to live

The problem

Smile Dental received 40–60 booking requests per week via phone, email, and their website form. Reception staff spent an average of 4+ hours daily manually entering appointments, sending confirmation emails, and chasing no-shows. Cancellation requests were handled inconsistently — sometimes the slot was filled, often it wasn't.

The solution

We built a single n8n workflow that handles the entire booking lifecycle end-to-end. When a patient submits the website form, OpenAI classifies the intent (new booking, question, cancellation) and routes the request accordingly. HubSpot creates or updates the contact record automatically. For new bookings, the system checks Google Calendar for available slots, sends a confirmation SMS via Twilio, and schedules reminder messages for 24h and 1h before the appointment.

Questions get an AI-generated response within minutes. Cancellation requests trigger the rescheduling flow — patients receive three alternative time slots via SMS and can confirm with a simple reply.

The result

No-shows dropped from 18% to 12.4% in the first month. Reception staff now spends their time on patient care, not admin. The practice manager sees daily stats on a shared dashboard — appointments booked, confirmations sent, cancellations handled — without asking the team for a report.

What each node does

01

Form submission triggers n8n

Patient fills out the booking form on the website. n8n receives the payload via webhook — name, preferred date/time, contact details, reason for visit.

02

OpenAI classifies the intent

Before any calendar logic runs, OpenAI reads the form data and classifies it: new booking, question, cancellation, or reschedule. This single decision branches the entire workflow.

03

HubSpot contact management

The patient's record is created or enriched in HubSpot automatically. Every interaction — booking, confirmation, cancellation — is logged, so the practice has a full patient history with no manual data entry.

04

Calendar check + slot confirmation

For new bookings, the system queries the practice calendar (Google Calendar or Acuity) and checks available slots. If the requested slot is free, a confirmation SMS goes out via Twilio within 90 seconds of form submission.

05

AI-powered reply processing

When a patient replies to a confirmation SMS or sends a follow-up question, Claude reads the message and generates an appropriate response — confirming, answering, or escalating to the reception team if needed.

06

Automated SMS reminders

Two automated reminders per appointment: 24 hours before and 1 hour before. Patients can confirm or reschedule by replying to the SMS. Unconfirmed appointments surface on the dashboard for reception follow-up.

Want a workflow like this for your practice?

We build automation workflows for dental practices, law firms, recruiters, and real estate agencies. Setup takes 5–10 days. Monthly maintenance starts at €500. No surprise fees.

  • Free workflow audit — we review your current process
  • 5-day delivery guarantee on initial build
  • Monthly retainer includes monitoring and updates
  • GDPR-ready, EU-hosted options available

Get a free consultation

Tell us about your practice. We'll send a workflow proposal within 24 hours.

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