Weekly Recall Contact Log
A one row per attempt log for tracking who was contacted about a due checkup, on which channel, what happened, and what comes next.
Reviewed for 2026, updated September 8, 2026.
If more than one person touches your recall list, the log is what keeps them from calling the same patient twice or forgetting a reply that came in on Tuesday. This worksheet gives you one row for every contact attempt. Record the patient, the date they are due, the tier they fall into, the channel you used, the outcome, and the specific next step with a date. When the next step happens, add a new row rather than editing the old one, so the history stays intact.
Use a patient ID or chart number instead of a name if the sheet ever leaves your practice system, and keep clinical details out of the outcome column entirely. The example rows below show the kinds of entries that are useful; replace them with your own. A log like this is also the raw material for your monthly numbers, because counting reached, booked, and kept from these rows is far easier than reconstructing it from memory. If you find yourself filling pages of this every week, that is usually the sign it is time to automate the sending and logging.
| Patient ID | Due date | Tier | Attempt date | Channel | Outcome | Next step and date |
|---|---|---|---|---|---|---|
| Your patient ID | 2026-09-22 | Coming due | 2026-09-08 | Text | No reply yet | Email on 2026-09-15 |
| Your patient ID | 2026-09-25 | Coming due | 2026-09-08 | Text | Replied, prefers Tuesdays | Offer two Tuesday slots today |
| Your patient ID | 2026-10-06 | Coming due | 2026-09-08 | Booked online | Confirmation text three days before visit | |
| Your patient ID | 2026-08-12 | Recently overdue | 2026-09-08 | Call | Left voicemail | Second call on 2026-09-15 |
| Your patient ID | 2026-07-30 | Recently overdue | 2026-09-09 | Call | Reached, will call back | Text the booking link, follow up 2026-09-16 |
| Your patient ID | 2026-03-15 | Long overdue | 2026-09-09 | Postcard | Sent | Slow cadence, check again 2026-10-20 |
| Your patient ID | 2026-02-02 | Long overdue | 2026-09-10 | Bounced | Verify contact details, try a call | |
| Your patient ID | 2026-09-18 | Coming due | 2026-09-10 | Text | Asked to stop texts | Record opt-out, email only from now on |
| Your patient ID | 2025-11-20 | Long overdue | 2026-09-10 | Call | Number disconnected | Final postcard, then mark inactive |
| Your patient ID | Your due date | Your tier | Your attempt date | Your channel | Your outcome | Your next step and date |
https://duevisit.com/templates/weekly-recall-contact-log/Use it in your business, share it with your team, or link to it from your own site.
Also from DueVisit
- Recall Program Audit Checklist: A 24 point checklist for auditing a small practice's patient recall program, from the due date field to the monthly numbers.
- Free calculators