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Cadence connects to the
tools you already use.

No new workflows to learn. Cadence works alongside your existing calendar, EHR, and communication tools, fitting into how your practice already operates.

How it works

One hub for every system.

Cadence sits at the center of your scheduling workflow. Data flows in from your calendar and EHR, and Cadence pushes confirmations, reminders, and updates back out automatically.

Google Calendar
SimplePractice
Kareo (coming soon)
TherapyNotes (coming soon)
Practice Hub
Twilio SMS
Email
Cay AI Assistant
Billing (coming soon)
Live

Google Calendar

Cadence syncs appointments to and from Google Calendar in real time. Patients see confirmed times, providers avoid double-booking, and Cay knows exactly when slots are open.

  • + Two-way sync (Cadence to GCal and back)
  • + Per-provider calendar links
  • + Patient confirmation events with Cay details
Coming Soon

Apple Calendar

iCloud calendar sync for providers and practices that use Apple devices as their primary tools. Appointments will appear natively across iPhone, iPad, and Mac.

Coming Soon

Outlook Calendar

Microsoft 365 and Outlook calendar integration for practices that operate within a Windows or enterprise IT environment.

Live via GCal

SimplePractice

If your practice runs SimplePractice, Cadence connects via Google Calendar sync. Appointment times flow into Cadence, and Cay handles the scheduling coordination layer on top.

  • + Appointment import via GCal
  • + No duplicate data entry required
  • + Cay layered on top for communication
Ka
Coming Soon

Kareo

Direct API integration with Kareo for patient demographic sync, appointment import, and authorization tracking across platforms.

TN
Coming Soon

TherapyNotes

TherapyNotes integration for practices that use it for documentation and billing, bringing scheduling data into Cadence without re-entry.

WP
Coming Soon

WebPT

Integration with WebPT for multi-discipline practices that include PT or OT alongside SLP services, enabling unified scheduling coordination.

Live

Twilio SMS

Cay sends and receives all messages via Twilio, giving your practice a dedicated phone number for patient communication. All conversations are logged and searchable.

  • + Dedicated practice phone number
  • + Inbound and outbound messaging
  • + Full conversation history per patient
Live

Email

Appointment confirmations, reminder sequences, and plan-of-care alerts sent via email as a fallback when SMS is unavailable or patient preference indicates email.

  • + Branded confirmation emails
  • + Reminder sequences with opt-out
Vo
Coming Soon

Voice (Automated Calls)

For patients who prefer a phone call over a text, automated voice confirmations and reminders delivered via Twilio Voice with natural-language responses.

St
Coming Soon

Stripe

Collect copays and balances directly through Cadence. Stripe handles the payment processing, Cadence handles the appointment context.

OF
Coming Soon

Office Ally

Connect Cadence scheduling data to Office Ally for streamlined insurance billing and claim submission.

CM
Coming Soon

Claim.MD

Electronic claims submission via Claim.MD integrated with Cadence visit records and authorization data to reduce manual entry.

Integration questions.

No. Cadence works as a standalone scheduling system. If you do use SimplePractice, the Google Calendar sync lets Cadence see your appointments without requiring a direct API connection. Cadence then handles the scheduling coordination and patient communication on top of whatever EHR you already use.

Yes. Changes made in Cadence sync to Google Calendar, and events added or modified in Google Calendar sync back into Cadence. Cadence is the source of truth for scheduling decisions, but both systems stay current in real time.

Yes. Growth and Practice plans support multiple providers, each with their own calendar link and patient roster. The schedule view shows all providers simultaneously or filtered by individual. Cay is aware of each provider's availability when handling rescheduling conversations.

All messages are sent from a dedicated practice phone number, not from personal staff numbers. Cadence stores conversation logs with encryption at rest. Cay never transmits clinical information over SMS, only scheduling details. We are building toward full HIPAA Business Associate Agreement (BAA) coverage for applicable features.

You can export your full patient roster, appointment history, session notes, and plan of care records at any time. Data is exported in CSV and JSON formats. We provide a 90-day window after account closure during which exports remain available.

Not seeing your system?

Tell us what you use. We're actively building integrations based on what practices actually need, and early access users shape the roadmap.

Tell us what you need and we'll follow up directly.