📝 Overview
If your clinic uses both ChiroHD and SKED, the two-way texting sync keeps text conversations visible in both platforms simultaneously. Any message sent or received in ChiroHD is reflected in SKED, and vice versa — your staff always sees the full conversation regardless of which platform they're working in.
The sync covers two contact types:
🧑⚕️ Patients/Clients — active contacts already in your ChiroHD system
🎯 Leads — prospective patients being managed in SKED before they've converted
When a lead converts to a patient in ChiroHD, their text history is not lost. The existing SKED conversation is linked to the new patient record automatically, so staff can see everything that was said before the person ever walked through the door.
Accessing the Integration
To set up or manage the SKED SMS integration, you must be a Location Admin.
🔒 Location Admins only: Non-admin users will not see the SKED SMS section in Settings.
Navigate to: Live location in ChiroHD → Settings → Integrations → SKED
Connecting ChiroHD to SKED
This is a one-time setup per location.
Go to Settings in the top navigation bar.
Click Integrations.
Locate the SKED section.
If your location has not been connected yet, you'll see the message: "Connect your SKED account to ChiroHD to enable the full SKED integration."
Click the green AUTHENTICATE button.
A new window will open to complete the OAuth authorization on SKED's side. Once approved, the window closes automatically.
You'll see a confirmation: "Successfully connected with SKED!"
🔁 Re-authenticating: If you're experiencing issues with the sync — messages not appearing, connection errors — return to Settings → Integrations → SKED and click RE-AUTHENTICATE to refresh the connection.
How the Sync Works Day-to-Day
Once connected, all text messages route through SKED's messaging infrastructure. Both platforms display the same conversation.
A message sent from ChiroHD appears in SKED — and replies come back to both.
A message sent from SKED appears in the patient two-way texting history in ChiroHD.
Staff don't need to switch platforms to check for replies or duplicated outreach.
💬 For leads: When a lead is texted for the first time through ChiroHD, SKED creates a lead record on their side and stores a unique identifier. ChiroHD saves that identifier so all future messages route to the same conversation thread.
Lead-to-Patient Conversion
When a lead converts to a patient in ChiroHD, the system links the existing SKED conversation to the new patient record. Staff pulling up the new patient can see the full text history from before they became a patient — no gaps, no starting over.
Unread Indicator 🔵
In ChiroHD's conversation list, a blue dot next to a contact's name means there's an incoming message that hasn't been opened yet. Once a team member clicks into the conversation and reads it, the indicator clears.
📌 When conversations first sync from SKED after initial authentication, some may appear as unread if they contain messages not yet viewed inside ChiroHD. This is expected — the blue dot is flagging anything that needs attention.
Bulk Archive
When you first authenticate, the sync may pull in a large number of existing conversations — including ones from contacts that are already inactive or resolved. Rather than closing these one at a time, Bulk Archive lets you select multiple conversations and archive them all at once.
Recommended: Run a bulk archive shortly after your initial authentication to clear the backlog and keep your active inbox focused.
📁 Archiving a conversation does not delete it or remove any message history. It moves the conversation out of the active inbox view. Archived conversations remain accessible if you need to reference them later.
Things to Know ⚠️
SMS opt-out: If a patient or lead has opted out of SMS communications, messages will not be sent through the integration.
Feature must be enabled: The SKED SMS section only appears in Settings → Integrations if the integration is active for your location. If you don't see it, contact support to confirm it's enabled.
Per-location setup: Each location must complete the authentication separately. If your clinic has multiple locations, repeat the setup for each one.
📎 Sending Images & Files (MMS)
The two-way texting window also supports MMS — you can send images, PDFs, audio clips, and short video clips directly to patients. For full details on supported file types, size limits, and how to attach files, see Sending MMS (Images & Files) in the Two-Way Texting Window.
✅ Key Takeaways
The two-way texting sync is set up once per location from Settings → Integrations → SKED and requires Location Admin access.
All messages route through SKED's messaging infrastructure; both platforms display the same conversation in real time.
Lead text history carries over automatically when a lead converts to a patient — no data is lost.
Use Bulk Archive after initial setup to clear resolved conversations out of your active inbox.
The blue dot unread indicator marks conversations with messages your team hasn't opened yet in ChiroHD.
📌 Conclusion
Use this integration if your clinic actively manages leads in SKED and patients in ChiroHD — it eliminates the need to check two inboxes and preserves conversation context across the full patient lifecycle, from first contact to active care. If the SKED section doesn't appear in your Integrations settings, you'll need to have the feature enabled for your location before setup can begin.