Free OpenClaw Skill for Plastic Surgery Clinics: Consult to Surgery Coordinator Agent (Download)

What this skill does for your plastic surgery clinics

• Drafts the 24, 72, and 7-day post-consult cadence keyed to procedure (rhinoplasty, breast aug, tummy tuck, BBL, face lift) and the patient's stated objection (cost, timing, comfort, results uncertainty).
• Hands off financing applications to Cherry, PatientFi, and Alphaeon Credit with payment-estimate snippets tuned to each lender's product mix.
• Owns the pre-op cadence at 14, 7, 3, 1 day with the surgeon-specific instruction set (anticoagulation hold, soap regimen, ride-home confirmation, prescription pickup, lymphatic massage scheduling).
• Runs the post-op recovery touchpoints at day 1, 3, 7, 14, 30, 90, 6 months, 1 year with photo upload prompts to Touch MD and protocol-specific compliance checks.
• Re-engages second-opinion shoppers who consulted but did not book, with a 14, 45, and 90 day cadence keyed to their stated reason.

What's inside this OpenClaw skill

The full file you download, indexed below for search engines and for operators who want to read before they install.

---
name: plastic-surgery-coordinator
description: Consult to surgery conversion, financing handoff, pre-op and post-op cadence, and second-opinion shopper reactivation for plastic surgery practices. Integrates with Symplast, Nextech, PatientNow, Touch MD, Cherry, PatientFi, Alphaeon.
version: 1.0.0
author: OpenClaw Consult (Adhiraj Hangal)
license: MIT
url: https://openclawconsult.com/skills/plastic-surgery-clinics
---

# OpenClaw Skill: Plastic Surgery Consult to Surgery Coordinator

## Overview

This skill turns the OpenClaw agent into a patient coordinator equivalent for
your plastic surgery practice. It does not replace the PC role: it amplifies it.
The skill owns the 60 to 120 daily patient messages so the human PC can spend
the day on consults, in-person financing conversations, and exception handling.

It is designed for 1 to 6 surgeon plastic surgery practices running Symplast,
Nextech Cosmetic, PatientNow, or Aesthetic Record. Single-location and small
multi-location practices both work. The skill handles the unique decision-cycle
of cosmetic surgery: high-ticket, elective, comparison-shopped, financing-driven,
and post-op compliance-sensitive.

## What this skill does

1. Post-consult cadence (24, 72, 7-day) keyed to procedure and stated objection
2. Financing handoff waterfall through Cherry, PatientFi, Alphaeon Credit with re-pitch logic on first decline
3. Pre-op cadence at 14, 7, 3, 1 day with surgeon-specific instruction sets
4. Post-op recovery touchpoints at day 1, 3, 7, 14, 30, 90, 6 months, 1 year with Touch MD photo prompts
5. Second-opinion shopper reactivation at 14, 45, 90 days keyed to the patient's stated reason
6. Surgical block fill outreach when last-minute cancellations open a slot

## Triggers

```yaml
triggers:
  - type: heartbeat
    schedule: "0 8 * * *"            # Daily 8am
    action: review_post_consult_patients
    lookback_days: 14

  - type: heartbeat
    schedule: "0 7 * * 1"            # Mondays 7am
    action: compile_pre_op_cadence_queue

  - type: heartbeat
    schedule: "0 9 * * *"            # Daily 9am
    action: post_op_touchpoint_roster

  - type: on_event
    event: pms.consult_logged
    action: enter_post_consult_cadence

  - type: on_event
    event: pms.surgery_booked
    action: enter_pre_op_cadence

  - type: on_event
    event: pms.surgery_completed
    action: enter_post_op_cadence

  - type: on_event
    event: pms.surgery_cancelled_late
    action: trigger_block_fill_outreach
```

## Workflow: post-consult cadence

When a new consult is logged in the PMS, the agent:

1. Reads the consult notes including the procedure of interest, the surgeon's quoted range, and the patient's stated objection
2. Tags the patient as one of: ready-to-book, financing-hesitant, second-opinion-shopper, partner-needs-input, timing-concern, comfort-or-results-uncertain
3. Drafts message 1 at hour 24 with a personalized detail from the consult and the surgeon's voice (not the PC's)
4. Drafts message 2 at hour 72 keyed to the objection tag (financing app invite, surgeon-voice reassurance, partner-friendly FAQ link, timing-flex availability)
5. Drafts message 3 at day 7 with three specific surgical date options and the records-or-deposit next step
6. Routes the patient into the 14, 45, 90 day reactivation queue if no decision by day 10

All messages route through the patient coordinator for approval by default. Flip to autonomous by editing the approval_mode block at the bottom of this file.

## Workflow: financing handoff

When a consult is tagged financing-hesitant, the agent runs the financing waterfall:

1. Estimates the right lender based on procedure price point and the patient's stated budget
2. Drafts the application invitation tuned to the lender's brand voice and approval profile (Cherry default for lower price points, PatientFi for combination procedures, Alphaeon for established credit histories)
3. If the patient applies and is declined, the skill detects the decline event and drafts the second-lender re-pitch with framing that does not feel like a second rejection (focus on different product, not a second chance)
4. If the patient is approved, the skill triggers the booking-conversation message back to the PC with the monthly payment estimate and the suggested surgical date slots
5. If the patient never starts the application, the skill nudges at 48 hours with a price-point-honest message rather than a generic financing reminder

The skill never transmits application data to the lender. The PC sends the application link, the patient applies directly with the lender.

## Workflow: pre-op cadence

Once surgery is booked, the agent enters the pre-op cadence:

- Day 14: confirmation message, ride-home reservation prompt, medical clearance check
- Day 7: anticoagulation hold instructions (with surgeon-specific list of meds: ibuprofen, aspirin, fish oil, vitamin E, garlic supplements), surgical bra or compression garment pickup reminder
- Day 3: soap regimen, no-shave reminder, prescription pickup confirmation (antibiotic, anti-nausea, pain management)
- Day 1: arrival time, fasting window, what to wear, what to bring
- Day of: 2-hour pre-arrival check-in for any last-minute questions

Each touchpoint pulls the surgeon-specific protocol from the config. Dr. Cohen's anticoagulation hold list is different from Dr. Patel's, and the skill knows.

## Workflow: post-op cadence

After surgery is logged, the agent enters the post-op cadence:

- Day 1: pain check, swelling check, hydration reminder, follow-up appointment confirmation
- Day 3: drain output log (if applicable), incision check prompt
- Day 7: suture removal scheduling, return-to-light-activity guidance
- Day 14: garment compliance check, lymphatic massage scheduling for body procedures
- Day 30: 1-month photo upload prompt via Touch MD, return-to-exercise guidance
- Day 90: 3-month photo upload, scar care protocol check
- Month 6 and Year 1: revision check, referral request, before-and-after consent prompt

The agent prompts the patient to upload photos to Touch MD. The skill never transmits images; Touch MD owns the BAA-protected photo storage.

## Workflow: surgical block fill

When a cancellation opens a block within 14 days, the agent:

1. Pulls the consult-but-not-yet-booked list filtered for the same procedure category
2. Ranks by financing-approved status, surgical-readiness signal, and recency of consult
3. Drafts a private slot-offer message for the top 3 to 5 candidates
4. Routes to the PC for approval and limit the offer to one patient at a time (no overbooking)
5. Updates the block status as soon as one patient confirms

The block fill workflow is the single highest-revenue moment in the practice when a cancellation hits. Most practices lose the slot to a 24-hour delay. The skill closes the gap to 30 minutes.

## Memory keys

```yaml
memory:
  - key: ps.consult_status[{patient_id}]
    description: Current cadence stage post-consult
    values: [day_1_sent, day_3_sent, day_7_sent, financing_pending, financing_approved, financing_declined, booked, lost_to_other_practice, reactivation_14d, reactivation_45d, reactivation_90d]

  - key: ps.surgery_pipeline[{patient_id}]
    description: Booked surgery context
    schema: { procedure: string, surgeon: string, surgical_date: date, financing_provider: string, monthly_payment: number, deposit_received: bool }

  - key: ps.pre_op_progress[{patient_id}]
    description: Pre-op cadence completion status
    schema: { day_14: bool, day_7: bool, day_3: bool, day_1: bool, day_of: bool, flagged: bool }

  - key: ps.post_op_progress[{patient_id}]
    description: Post-op cadence completion status
    schema: { day_1: bool, day_3: bool, day_7: bool, day_14: bool, day_30: bool, day_90: bool, photo_uploaded_day_30: bool, photo_uploaded_day_90: bool }

  - key: ps.second_opinion_queue[{patient_id}]
    description: Active second-opinion-shopper reactivation stage
    values: [day_14, day_45, day_90, dormant, recovered_to_booking]
```

## Message templates

```yaml
templates:
  post_consult_24h_warm:
    body: |
      Hi {patient_first_name},

      Thank you for coming in to see {surgeon_last_name} today. We were thinking
      about your goals for {procedure_layperson} and wanted to send one more
      thought from {surgeon_first_name}:

      {surgeon_followup_note}

      Whenever you are ready, here is the next step:
      {next_step_link}

      No pressure. We move at the pace that works for you.

      {pc_first_name}

  post_consult_72h_financing_cherry:
    body: |
      Hi {patient_first_name},

      Following up from your consult. Based on what we discussed, the cleanest
      financing route for you is Cherry. Monthly payments for your procedure
      typically come in around {cherry_monthly_estimate}, and the application
      takes about 2 minutes.

      Here is the direct link to apply:
      {cherry_application_link}

      It is a soft pull, so applying does not affect your credit. Once you are
      approved, I will send the surgical date options.

      {pc_first_name}

  pre_op_day_7_anticoagulation_hold:
    body: |
      Hi {patient_first_name},

      One week to surgery. Time to stop the following medications and supplements:

      {anticoagulation_hold_list}

      If you take a prescription blood thinner, do not stop it without your
      prescribing doctor's approval. Reply if you are unsure.

      Surgical bra / compression garment pickup is also due this week. Confirm
      you picked it up by replying YES.

      {pc_first_name}

  post_op_day_1_checkin:
    body: |
      Hi {patient_first_name},

      How are you feeling this morning? Quick check on:
      1. Pain level (0 to 10)
      2. Drain output if applicable (mL)
      3. Nausea
      4. Anything that does not feel right

      Reply with your numbers. If anything is concerning, call us directly at
      {practice_phone}. {surgeon_last_name} is on call.

      Hydrate, rest, and we will check in tomorrow.

      {pc_first_name}

  second_opinion_reactivation_day_45:
    body: |
      Hi {patient_first_name},

      It has been a few weeks since you came in to see {surgeon_last_name}.
      We know this is a big decision and we know you may have consulted with
      other surgeons. {surgeon_first_name} asked me to share one more thought:

      {surgeon_differentiation_note}

      If you have questions we did not get to, I am always happy to set up a
      second visit, no fee. Reply anytime.

      {pc_first_name}
```

## Required integrations

| Integration               | Purpose                                                | Read | Write |
|---------------------------|--------------------------------------------------------|------|-------|
| Symplast                  | PMS, EMR, photos, consult, surgical scheduling         | yes  | optional |
| Nextech Cosmetic          | PMS, EMR, consult, surgical scheduling                 | yes  | optional |
| PatientNow                | PMS export, photo and consult                          | yes  | no    |
| Touch MD                  | Pre-op and post-op photo orchestration                 | yes  | yes   |
| Cherry                    | Financing application invitation                       | yes  | no    |
| PatientFi                 | Financing application invitation                       | yes  | no    |
| Alphaeon Credit           | Financing application invitation                       | yes  | no    |
| Twilio (or similar)       | Outbound SMS                                           | no   | yes   |
| Email provider            | Outbound email (SendGrid, Postmark, etc)               | no   | yes   |
| OpenClaw Memory           | Cross-run state                                        | yes  | yes   |
| OpenClaw Heartbeat        | Scheduled cadence triggers                             | yes  | yes   |

Write-back to Symplast or Nextech is optional. Most practices start read-only
and the PC commits any PMS changes manually. After two weeks of validation,
flip write access on for low-risk fields (recall date stamps, consult notes,
financing-status flags).

## HIPAA notes

By default this skill operates on patient identifiers, procedure category, and
appointment metadata. We deliberately avoid putting financial balances, exact
quoted pricing, anatomic detail, or pre-op photo references into outbound SMS.
For stricter PHI handling, set `phi_mode: identifier_only` and the agent will
tokenize patient identifiers, requiring the PC to fill in personalized content
from the secure portal.

Confirm your BAA covers the cloud AI provider you point OpenClaw at. The skill
itself is local; the model inference is not. Touch MD and the financing partners
have their own BAA terms which the practice should review.

## Configuration

```yaml
config:
  practice_name: "Your Practice Name"
  surgeons:
    - last_name: "Cohen"
      first_name: "Sarah"
      anticoagulation_hold_list: [ibuprofen, aspirin, naproxen, fish_oil, vitamin_e, garlic_supplements, ginkgo, ginger]
      prefers_voice: warm-direct
    - last_name: "Patel"
      first_name: "Raj"
      anticoagulation_hold_list: [ibuprofen, aspirin, naproxen, fish_oil, vitamin_e]
      prefers_voice: clinical-confident
  approval_mode: pc_approves_all          # or "autonomous_after_2_weeks"
  phi_mode: standard                      # or "identifier_only"
  financing_waterfall:
    default_first: Cherry
    high_ticket_first: PatientFi
    established_credit_first: Alphaeon
  cadences:
    post_consult: [24h, 72h, 7d, 14d, 45d, 90d]
    pre_op: [14d, 7d, 3d, 1d, day_of]
    post_op: [1d, 3d, 7d, 14d, 30d, 90d, 6mo, 12mo]
  block_fill_window_days: 14
```

## Quick install

```bash
mkdir -p ~/.claude/skills
mv plastic-surgery-clinics.md ~/.claude/skills/plastic-surgery-coordinator.md
# Edit the config block to match your practice
```

Launch OpenClaw and the skill is live. Run `compile post-consult cadence` or
`run block fill outreach` on demand, or wait for Heartbeat to fire it on the
configured schedule.

## Want it wired to your stack?

This SKILL.md is the starting point. If you want it plugged into your specific
PMS, your specific financing waterfall, your surgeon-specific cadences, and your
specific brand voice, on a fixed-price two-week clock, with the founder writing
every line of the build, the door is at
https://www.adhirajhangal.com/work

Install in 60 seconds

1. 1

   Drop the file into your OpenClaw skills directory

   Save the downloaded plastic-surgery-clinics.md as ~/.claude/skills/plastic-surgery-coordinator.md. OpenClaw picks up new skill files on next agent launch.

2. 2

   Wire in your practice management and imaging stack

   Edit the integrations block to point at your Symplast, Nextech, or PatientNow export and your Touch MD or Crisalix imaging account. Read access is enough to start. The skill ships prompts to translate your daily consult log into the agent's working memory.

3. 3

   Start in PC approval mode, validate, then move to autonomous

   Run for two weeks with the patient coordinator approving every outbound message. The skill defaults route any financing decline, any complaint, and any clinical question to a human. After two weeks of validation, flip the templates that consistently perform to autonomous and the PC gets notified only on exceptions.

Example conversation

Common questions

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