📝 Overview
The two-way texting feature in ChiroHD supports MMS (Multimedia Messaging Service), allowing you to send images, documents, audio clips, and more alongside regular text messages for enhanced patient communication.
Important: MMS is only available to ChiroHD offices that use SKED texting integration. If your office uses Twilio (ChiroHD's built-in texting), MMS is not supported. Please see our other resources if you have further questions about the Two Way Texting: ChiroHD + SKED.
🗂️ Supported File Types
You can send most common file formats, including:
🖼️ Images
Photos (JPG, PNG)
Screenshots
Flyers or graphics
🎥 Videos
Short video clips (MP4, MOV)
🔊 Audio
Voice recordings or audio clips (MP3, M4A)
📄 Documents
PDFs
💡 Use widely supported formats (JPG, MP4, PDF, etc.) for best delivery experience.
📏 File Size Limitations
Maximum combined size = 5 MB (text + all attachments)
⚠️ If the message exceeds the limit, it will not send
🔄 For larger files, split them across multiple messages or use an external sharing method
📤 How to Send MMS Files
1. Open Two-Way Texting Window
From the patient profile, click their blue cell phone number
ORFrom the notification panel, click the patient’s name under Active or Recent Conversations
2. Attach and Send
Click the attachment icon (📎 paperclip)
Select the image or file from your computer
Click Send
✅ That’s it! Your MMS message will be delivered directly to the patient.
✅ Key Takeaways
MMS is only available to ChiroHD offices using SKED texting — it is not available for Twilio-based offices
Use MMS to send images, PDFs, audio, and short video clips
Keep total message size under 5 MB
MMS is accessible via patient profiles or recent conversation alerts
Use the paperclip icon to attach files and send them seamlessly
Stick to common formats to avoid compatibility issues
📌 Conclusion
With MMS support in ChiroHD's two-way texting window, offices utilizing SKED texting integration can share important documents and visuals with patients more efficiently than ever. Just click, attach, and send — directly from the patient's profile or your active message center.