feat: add AI recall calling — books existing patients for routine cleanings

Adds a new recall conversation flow (recall-graph.ts) triggered from the
Patient Connection "AI Call" button: offers an existing patient a routine
exam & cleaning, classifies their yes/no reply, then books directly onto
the schedule (Column A, 30-minute slots, real conflict checking against
office hours and existing appointments) instead of only capturing a
preference for staff to follow up on.

Also adds a "Voice call" label in the message thread to distinguish call
transcripts from SMS, and updates the Call Templates settings UI with an
editable recall greeting.

Co-Authored-By: Claude Sonnet 5 <noreply@anthropic.com>

apps/Backend/src/ai/aiHandoffStore.ts

@@ -3,6 +3,9 @@ import { prisma as db } from "@repo/db/client";
 export type ConversationStage =
   | "initial"
   | "reminder_initial"
+  | "recall_initial"
+  | "recall_asked_datetime"
+  | "recall_asked_time_for_date"
   | "greeted"
   | "done"
   | "new_patient_greeted"
@@ -81,6 +84,12 @@ export async function startRescheduleConversation(userId: number, patientId: num
   await setStage(userId, patientId, "asked_reschedule_confirm");
 }
 
+// Recall: office proactively calls/texts an existing patient to offer a
+// routine exam & cleaning (typically covered at no cost by insurance).
+export async function startRecallConversation(userId: number, patientId: number): Promise<void> {
+  await setStage(userId, patientId, "recall_initial");
+}
+
 // ── Pending reschedule (in-memory — seconds-lived within a single exchange) ───
 
 interface PendingReschedule {

apps/Backend/src/ai/patient-conversation-router.ts

@@ -2,6 +2,7 @@ import twilio from "twilio";
 import { prisma as db } from "@repo/db/client";
 import { storage } from "../storage";
 import { runReminderGraph } from "./reminder-graph";
+import { runRecallGraph, runRecallBookingStep } from "./recall-graph";
 import { runNewPatientStep } from "./new-patient-graph";
 import {
   runRescheduleStep,
@@ -273,6 +274,46 @@ export async function routePatientTurn(params: {
     return finish(patient.userId, patient.id, [introText], "greeted");
   }
 
+  // ── Stage: recall_initial → office proactively offered an existing patient
+  // a routine exam & cleaning (usually covered at no cost by insurance); the
+  // pitch itself was already spoken/sent as the opening greeting, so this
+  // just classifies the patient's yes/no. On yes, it books directly onto the
+  // schedule (Column A, 30-minute slots) via runRecallBookingStep — unlike
+  // reschedule, a recall patient has no existing appointment to move, so this
+  // is a real create-appointment path, not a shortcut into the reschedule flow.
+  if (stage === "recall_initial") {
+    const { reply: intentReply, intent } = await runRecallGraph(
+      message, activeAi.key, language, chatTemplates.generalFallback, activeAi.provider, activeAi.model
+    );
+
+    if (intentReply) {
+      if (intent === "yes") {
+        // Patient may have already given a date (or date + time) in this same
+        // reply ("Tuesday 1pm") — try to book right away instead of asking again.
+        const { reply: bookingReply, nextStage: bookingNextStage } = await runRecallBookingStep(
+          message, "recall_asked_datetime", language, patient.id, patient.userId, activeAi.key, activeAi.provider, activeAi.model
+        );
+        return finish(patient.userId, patient.id, [bookingReply], bookingNextStage);
+      }
+      if (intent === "no") {
+        return finish(patient.userId, patient.id, [intentReply], "done");
+      }
+      return finish(patient.userId, patient.id, [intentReply], "recall_initial");
+    }
+
+    return finish(patient.userId, patient.id, [chatTemplates.generalFallback || "Thank you for your message!"], "recall_initial");
+  }
+
+  // ── Recall booking flow — collecting/confirming the day & time, then
+  // creating the appointment (see recall-graph.ts: runRecallBookingStep) ──
+  const recallBookingStages: ConversationStage[] = ["recall_asked_datetime", "recall_asked_time_for_date"];
+  if (recallBookingStages.includes(stage)) {
+    const { reply: aiReply, nextStage } = await runRecallBookingStep(
+      message, stage, language, patient.id, patient.userId, activeAi.key, activeAi.provider, activeAi.model
+    );
+    return finish(patient.userId, patient.id, [aiReply], nextStage);
+  }
+
   // ── Stage: greeted → classify yes/no for appointment reminder ──────────
   if (stage === "greeted") {
     const apptDatetime = await getAppointmentDatetime(patient.id);

apps/Backend/src/ai/recall-graph.ts

@@ -0,0 +1,450 @@
+import { StateGraph, END, START, Annotation } from "@langchain/langgraph";
+import { getLlm, type AiProvider } from "./llm-factory";
+import { prisma as db } from "@repo/db/client";
+import { storage } from "../storage";
+import {
+  type ConversationStage,
+  setPendingReschedule, getPendingReschedule, clearPendingReschedule,
+} from "./aiHandoffStore";
+import {
+  parseDateOnlyFromMessage, parseTime, isOfficeDayOpen, isWithinOfficeHours,
+  getOfficeHoursDisplay, timeLabel,
+} from "./reschedule-graph";
+
+const GraphState = Annotation.Root({
+  message:          Annotation<string>(),
+  intent:           Annotation<string>(),
+  reply:            Annotation<string>(),
+  language:         Annotation<string>(),
+  generalFallback:  Annotation<string>(),
+});
+
+type GraphStateType = typeof GraphState.State;
+
+// ── Intent classifier — multilingual yes/no keywords (shared shape with reminder-graph) ──
+
+function classifyNode(state: GraphStateType) {
+  const text = state.message.toLowerCase().trim();
+
+  const yesPatterns = /\b(yes|yeah|yep|yup|sure|ok|okay|sounds good|i'?d like (that|to)|let'?s do it|book it|schedule it|i want (an? )?appointment|i want to (come in|schedule|book)|great|perfect|absolutely|definitely|sí|si|claro|por supuesto|de acuerdo|seguro|sim|com certeza|好的|可以|好|明白|نعم|حسنا|موافق|wi|dakò|oke)\b/;
+  const noPatterns  = /\b(no|nope|not interested|not right now|no thanks|can't|cannot|won't|not now|not available|busy|sorry|unable|no puedo|no gracias|ahora no|não posso|agora não|não|占线|无法|不用了|不需要|لا|لا أستطيع|pa kapab|pa ka)\b/;
+
+  // A specific day/date/time, or an appointment-request phrase, is itself a
+  // strong signal the patient wants to book — real replies rarely say a bare
+  // "yes", they jump straight to "Tuesday at 1pm" or "I want an appointment".
+  const mentionsDateOrTime =
+    /\b(monday|tuesday|wednesday|thursday|friday|saturday|sunday|tomorrow|next week)\b/i.test(text) ||
+    /\b\d{1,2}[\/\-]\d{1,2}\b/.test(text) ||
+    /\b\d{1,2}(:\d{2})?\s*(am|pm|a\.m\.|p\.m\.)\b/i.test(text);
+  const mentionsAppointment = /\b(appointment|schedule|book|come in|check.?up|cleaning)\b/i.test(text);
+
+  if (noPatterns.test(text) && !mentionsDateOrTime) return { intent: "no" };
+  if (yesPatterns.test(text) || mentionsDateOrTime || mentionsAppointment) return { intent: "yes" };
+  return { intent: "other" };
+}
+
+function routeByIntent(state: GraphStateType): string {
+  if (state.intent === "yes") return "wantsBooking";
+  if (state.intent === "no")  return "declines";
+  return "other";
+}
+
+// ── Fallbacks ──────────────────────────────────────────────────────────────
+
+const WANTS_BOOKING_FALLBACKS: Record<string, string> = {
+  English:          "Great! What day works best for you?",
+  Spanish:          "¡Genial! ¿Qué día le viene mejor?",
+  Portuguese:       "Ótimo! Qual dia é melhor para você?",
+  Mandarin:         "太好了！您哪天方便？",
+  Cantonese:        "太好喇！您邊日方便？",
+  Arabic:           "رائع! ما هو اليوم الأنسب لك؟",
+  "Haitian Creole": "Bon! Ki jou ki pi bon pou ou?",
+};
+
+const DECLINES_FALLBACKS: Record<string, string> = {
+  English:          "No problem at all! Feel free to reach out whenever you're ready. Have a great day!",
+  Spanish:          "¡No hay problema! No dude en contactarnos cuando esté listo. ¡Que tenga un buen día!",
+  Portuguese:       "Sem problemas! Entre em contato sempre que estiver pronto. Tenha um ótimo dia!",
+  Mandarin:         "没问题！您准备好了随时联系我们。祝您愉快！",
+  Cantonese:        "冇問題！您準備好隨時聯絡我們。祝您愉快！",
+  Arabic:           "لا مشكلة على الإطلاق! لا تتردد في التواصل معنا عندما تكون مستعداً. أتمنى لك يوماً سعيداً!",
+  "Haitian Creole": "Pa gen pwoblèm! Ou ka kontakte nou nenpòt lè ou pare. Pase yon bon jounen!",
+};
+
+const GENERAL_FALLBACKS: Record<string, string> = {
+  English:          "Thank you for your message! Our office staff will be happy to assist you shortly.",
+  Spanish:          "¡Gracias por su mensaje! El personal de nuestra oficina estará encantado de ayudarle en breve.",
+  Portuguese:       "Obrigado pela sua mensagem! Nossa equipe terá prazer em ajudá-lo em breve.",
+  Mandarin:         "感谢您的留言！我们的办公室工作人员将很快为您提供帮助。",
+  Cantonese:        "感謝您的留言！我們的辦公室工作人員將很快為您提供幫助。",
+  Arabic:           "شكراً على رسالتك! سيسعد فريق مكتبنا بمساعدتك قريباً.",
+  "Haitian Creole": "Mèsi pou mesaj ou! Ekip biwo nou an pral kontan ede ou byento.",
+};
+
+// ── LangGraph nodes ───────────────────────────────────────────────────────────
+
+async function wantsBookingNode(state: GraphStateType, config: any) {
+  const apiKey: string | undefined = config?.configurable?.apiKey;
+  const lang = state.language || "English";
+  const fallback = WANTS_BOOKING_FALLBACKS[lang] ?? WANTS_BOOKING_FALLBACKS["English"]!;
+
+  if (!apiKey) return { reply: fallback };
+
+  try {
+    const provider: AiProvider = config?.configurable?.provider ?? "google";
+    const model: string | undefined = config?.configurable?.model;
+    const llm = getLlm(provider, apiKey, model);
+    const response = await llm.invoke([
+      {
+        role: "system",
+        content:
+          `You are a friendly dental office assistant. The patient agreed to come in for a routine exam and cleaning. Write a short, warm reply (1-2 sentences max) and ask what day works best for them. Do NOT introduce yourself or say your name — the introduction has already been sent in a separate message. You MUST reply in ${lang}. No formatting, no extra text.`,
+      },
+      { role: "user", content: `Patient replied: "${state.message}"` },
+    ]);
+    return { reply: String(response.content) || fallback };
+  } catch {
+    return { reply: fallback };
+  }
+}
+
+async function declinesNode(state: GraphStateType, config: any) {
+  const apiKey: string | undefined = config?.configurable?.apiKey;
+  const lang = state.language || "English";
+  const fallback = DECLINES_FALLBACKS[lang] ?? DECLINES_FALLBACKS["English"]!;
+
+  if (!apiKey) return { reply: fallback };
+
+  try {
+    const provider: AiProvider = config?.configurable?.provider ?? "google";
+    const model: string | undefined = config?.configurable?.model;
+    const llm = getLlm(provider, apiKey, model);
+    const response = await llm.invoke([
+      {
+        role: "system",
+        content:
+          `You are a friendly dental office assistant. The patient does not want to schedule a checkup right now. Write a short, polite reply (1-2 sentences max) letting them know that's no problem and they can reach out whenever they're ready. Do NOT introduce yourself or say your name. You MUST reply in ${lang}. No formatting, no extra text.`,
+      },
+      { role: "user", content: `Patient replied: "${state.message}"` },
+    ]);
+    return { reply: String(response.content) || fallback };
+  } catch {
+    return { reply: fallback };
+  }
+}
+
+async function otherNode(state: GraphStateType, config: any) {
+  const apiKey: string | undefined = config?.configurable?.apiKey;
+  const lang = state.language || "English";
+  const fallback = state.generalFallback || (GENERAL_FALLBACKS[lang] ?? GENERAL_FALLBACKS["English"]!);
+
+  if (!apiKey) return { reply: fallback };
+  try {
+    const provider: AiProvider = config?.configurable?.provider ?? "google";
+    const model: string | undefined = config?.configurable?.model;
+    const llm = getLlm(provider, apiKey, model);
+    const response = await llm.invoke([
+      {
+        role: "system",
+        content: `You are a friendly dental office AI assistant. Respond helpfully to the patient's message in ${lang}. Keep it to 1-2 sentences, no formatting. For non-dental questions, let them know our office staff can assist.`,
+      },
+      { role: "user", content: `Patient said: "${state.message}"` },
+    ]);
+    return { reply: String(response.content) || fallback };
+  } catch {
+    return { reply: fallback };
+  }
+}
+
+// ── Graph ─────────────────────────────────────────────────────────────────────
+
+const graph = new StateGraph(GraphState)
+  .addNode("classify",     classifyNode)
+  .addNode("wantsBooking", wantsBookingNode)
+  .addNode("declines",     declinesNode)
+  .addNode("other",        otherNode)
+  .addEdge(START, "classify")
+  .addConditionalEdges("classify", routeByIntent, {
+    wantsBooking: "wantsBooking",
+    declines:     "declines",
+    other:        "other",
+  })
+  .addEdge("wantsBooking", END)
+  .addEdge("declines",     END)
+  .addEdge("other",        END)
+  .compile();
+
+export async function runRecallGraph(
+  patientMessage:     string,
+  apiKey:              string,
+  language            = "English",
+  generalFallback     = "",
+  provider: AiProvider = "google",
+  model?: string
+): Promise<{ reply: string | null; intent: string | null }> {
+  const result = await graph.invoke(
+    { message: patientMessage, intent: "", reply: "", language, generalFallback },
+    { configurable: { apiKey, provider, model } }
+  );
+  return {
+    reply:  result.reply  || null,
+    intent: result.intent || null,
+  };
+}
+
+// ── Recall booking — actually reserves a slot, unlike the reschedule flow  ──
+// (which only MOVES an existing appointment). A recall patient has none, so
+// this creates a new one directly on "Column A" (the office's first staff
+// column, matching the convention already used in internal-chat-workflow.ts),
+// in fixed 30-minute slots.
+
+const RECALL_SLOT_MINUTES = 30;
+
+function toMinutes(t: string): number {
+  const [h, m] = t.split(":").map(Number);
+  return (h ?? 0) * 60 + (m ?? 0);
+}
+function fromMinutes(m: number): string {
+  return `${String(Math.floor(m / 60)).padStart(2, "0")}:${String(m % 60).padStart(2, "0")}`;
+}
+
+/** "Column A" = the office's first staff record by id, per the same convention
+ *  used for AI-booked appointments elsewhere (see internal-chat-workflow.ts). */
+async function getColumnAStaffId(userId: number): Promise<number | null> {
+  const staff = await db.staff.findFirst({ where: { userId }, orderBy: { id: "asc" } });
+  return staff?.id ?? null;
+}
+
+/**
+ * Finds a free RECALL_SLOT_MINUTES slot for `staffId` on `date`. Prefers
+ * `requestedStartTime` if it's free; otherwise falls back to the earliest
+ * open slot that day. Returns null if the whole day is fully booked.
+ */
+async function findRecallSlot(
+  userId: number, staffId: number, date: Date, requestedStartTime?: string | null,
+): Promise<{ time: string; matchedRequest: boolean } | null> {
+  const officeHours = await storage.getOfficeHours(userId);
+  const data = (officeHours as any)?.data;
+  const dayNames = ["sunday","monday","tuesday","wednesday","thursday","friday","saturday"];
+  const dayName = dayNames[date.getUTCDay()]!;
+
+  // Union of doctors' + hygienists' windows that day — matches the "open if
+  // within either group's hours" tolerance isWithinOfficeHours() already uses.
+  const windows: [number, number][] = [];
+  for (const group of [data?.doctors, data?.hygienists]) {
+    const slot = group?.[dayName];
+    if (slot?.enabled) {
+      windows.push([toMinutes(slot.amStart), toMinutes(slot.amEnd)]);
+      windows.push([toMinutes(slot.pmStart), toMinutes(slot.pmEnd)]);
+    }
+  }
+  if (windows.length === 0) {
+    windows.push([toMinutes("09:00"), toMinutes("12:00")], [toMinutes("13:00"), toMinutes("17:00")]);
+  }
+
+  const allSlots = new Set<number>();
+  for (const [start, end] of windows) {
+    for (let t = start; t + RECALL_SLOT_MINUTES <= end; t += RECALL_SLOT_MINUTES) allSlots.add(t);
+  }
+
+  const dateStr = date.toISOString().split("T")[0]!;
+  const existing = await storage.getAppointmentsByDateForUser(dateStr, userId);
+  const booked = existing
+    .filter((a: any) => a.staffId === staffId && a.status !== "cancelled")
+    .map((a: any) => ({ start: toMinutes(a.startTime), end: toMinutes(a.endTime) }));
+
+  const isFree = (slotStart: number) => {
+    const slotEnd = slotStart + RECALL_SLOT_MINUTES;
+    return !booked.some((b) => slotStart < b.end && slotEnd > b.start);
+  };
+
+  if (requestedStartTime) {
+    const reqStart = toMinutes(requestedStartTime);
+    if (allSlots.has(reqStart) && isFree(reqStart)) return { time: requestedStartTime, matchedRequest: true };
+  }
+
+  const sorted = Array.from(allSlots).sort((a, b) => a - b);
+  const fallback = sorted.find(isFree);
+  return fallback === undefined ? null : { time: fromMinutes(fallback), matchedRequest: false };
+}
+
+const DAY_FULL_FALLBACKS: Record<string, (dateLabel: string) => string> = {
+  English:          (d) => `I'm sorry, ${d} is fully booked. Could you please choose another day?`,
+  Spanish:          (d) => `Lo sentimos, el ${d} ya está completo. ¿Podría elegir otro día?`,
+  Portuguese:       (d) => `Sinto muito, ${d} está totalmente reservado. Poderia escolher outro dia?`,
+  Mandarin:         (d) => `很抱歉，${d} 的预约已满。您能选择其他日期吗？`,
+  Cantonese:        (d) => `好抱歉，${d} 已經約滿。您可以選擇其他日子嗎？`,
+  Arabic:           (d) => `عذراً، ${d} محجوز بالكامل. هل يمكنك اختيار يوم آخر؟`,
+  "Haitian Creole": (d) => `Padon, ${d} konplè. Èske ou ka chwazi yon lòt jou?`,
+};
+
+const NO_STAFF_FALLBACK: Record<string, string> = {
+  English:          "Thanks! Our office staff will reach out shortly to confirm a time that works.",
+  Spanish:          "¡Gracias! Nuestro personal se pondrá en contacto en breve para confirmar un horario.",
+  Portuguese:       "Obrigado! Nossa equipe entrará em contato em breve para confirmar um horário.",
+  Mandarin:         "谢谢！我们的工作人员将很快与您联系以确认时间。",
+  Cantonese:        "多謝！我們的職員好快會聯絡您確認時間。",
+  Arabic:           "شكراً! سيتواصل معك فريقنا قريباً لتأكيد الموعد.",
+  "Haitian Creole": "Mèsi! Ekip biwo nou an pral kontakte ou byento pou konfime yon lè.",
+};
+
+const BOOKED_EXACT_FALLBACKS: Record<string, (dateLabel: string, time: string) => string> = {
+  English:          (d, t) => `You're all set for ${d} at ${t}! We look forward to seeing you.`,
+  Spanish:          (d, t) => `¡Todo listo para el ${d} a las ${t}! Le esperamos.`,
+  Portuguese:       (d, t) => `Tudo pronto para ${d} às ${t}! Aguardamos sua visita.`,
+  Mandarin:         (d, t) => `已为您安排在 ${d} ${t}！期待您的光临。`,
+  Cantonese:        (d, t) => `已幫您安排喺 ${d} ${t}！期待見到您。`,
+  Arabic:           (d, t) => `تم الحجز في ${d} الساعة ${t}! نتطلع لرؤيتك.`,
+  "Haitian Creole": (d, t) => `Ou pare pou ${d} a ${t}! N'ap tann ou.`,
+};
+
+const BOOKED_ALT_FALLBACKS: Record<string, (dateLabel: string, time: string) => string> = {
+  English:          (d, t) => `That exact time was just taken, so I booked you for ${t} on ${d} instead. We look forward to seeing you!`,
+  Spanish:          (d, t) => `Esa hora ya no estaba disponible, así que le reservé a las ${t} el ${d}. ¡Le esperamos!`,
+  Portuguese:       (d, t) => `Esse horário exato já foi reservado, então marquei ${t} em ${d}. Aguardamos sua visita!`,
+  Mandarin:         (d, t) => `那个时间刚被预订了，我已为您安排在 ${d} ${t}。期待您的光临！`,
+  Cantonese:        (d, t) => `嗰個時間啱啱被人訂咗，我已經幫您安排喺 ${d} ${t}。期待見到您！`,
+  Arabic:           (d, t) => `تم حجز ذلك الوقت للتو، لذا حجزت لك موعداً في ${d} الساعة ${t}. نتطلع لرؤيتك!`,
+  "Haitian Creole": (d, t) => `Lè sa a fèk pran, kidonk mwen bwouke ou pou ${t} nan ${d}. N'ap tann ou!`,
+};
+
+const ASK_TIME_FALLBACKS: Record<string, (dateLabel: string) => string> = {
+  English:          (d) => `Great, what time on ${d} works for you?`,
+  Spanish:          (d) => `Genial, ¿qué hora le viene bien el ${d}?`,
+  Portuguese:       (d) => `Ótimo, que horário funciona para você em ${d}?`,
+  Mandarin:         (d) => `太好了，您 ${d} 哪个时间方便？`,
+  Cantonese:        (d) => `太好喇，您 ${d} 邊個時間方便？`,
+  Arabic:           (d) => `رائع، ما الوقت المناسب لك في ${d}؟`,
+  "Haitian Creole": (d) => `Bon, ki lè nan ${d} ki bon pou ou?`,
+};
+
+const CLOSED_DAY_FALLBACKS: Record<string, (day: string) => string> = {
+  English:          (day) => `We're closed on ${day}s. What other day works for you?`,
+  Spanish:          (day) => `Estamos cerrados los ${day}. ¿Qué otro día le viene bien?`,
+  Portuguese:       (day) => `Estamos fechados aos ${day}. Que outro dia funciona para você?`,
+  Mandarin:         (day) => `我们${day}休息。您方便其他哪天？`,
+  Cantonese:        (day) => `我們${day}休息。您方便其他邊日？`,
+  Arabic:           (day) => `نحن مغلقون أيام ${day}. ما يوم آخر يناسبك؟`,
+  "Haitian Creole": (day) => `Nou fèmen jou ${day}. Ki lòt jou ki bon pou ou?`,
+};
+
+const NO_DATE_FALLBACKS: Record<string, string> = {
+  English:          "Sorry, I didn't catch a day — what day would you like to come in?",
+  Spanish:          "Disculpe, no entendí el día — ¿qué día le gustaría venir?",
+  Portuguese:       "Desculpe, não entendi o dia — que dia você gostaria de vir?",
+  Mandarin:         "抱歉，我没听清日期——您想哪天过来？",
+  Cantonese:        "抱歉，我冇聽清楚日期——您想邊日嚟？",
+  Arabic:           "عذراً، لم أفهم اليوم — ما اليوم الذي تود الحضور فيه؟",
+  "Haitian Creole": "Padon, mwen pa konprann jou a — ki jou ou ta renmen vini?",
+};
+
+/** Books the recall appointment (or reports the day is full) and returns the reply + next stage. */
+async function bookRecallSlot(
+  patientId: number, userId: number, date: Date, dateLabel: string, requestedStartTime: string | null, lang: string,
+): Promise<{ reply: string; nextStage: ConversationStage }> {
+  const staffId = await getColumnAStaffId(userId);
+  if (staffId === null) {
+    return { reply: NO_STAFF_FALLBACK[lang] ?? NO_STAFF_FALLBACK["English"]!, nextStage: "done" };
+  }
+
+  const slot = await findRecallSlot(userId, staffId, date, requestedStartTime);
+  if (!slot) {
+    const build = DAY_FULL_FALLBACKS[lang] ?? DAY_FULL_FALLBACKS["English"]!;
+    return { reply: build(dateLabel), nextStage: "recall_asked_datetime" };
+  }
+
+  const endTime = fromMinutes(toMinutes(slot.time) + RECALL_SLOT_MINUTES);
+  await storage.createAppointment({
+    patientId, userId, staffId,
+    title:     "Routine Exam & Cleaning",
+    date, startTime: slot.time, endTime,
+    type:      "recall",
+    status:    "scheduled",
+    movedByAi: true,
+  } as any);
+
+  const timeLbl = timeLabel(slot.time);
+  const build = slot.matchedRequest
+    ? (BOOKED_EXACT_FALLBACKS[lang] ?? BOOKED_EXACT_FALLBACKS["English"]!)
+    : (BOOKED_ALT_FALLBACKS[lang]   ?? BOOKED_ALT_FALLBACKS["English"]!);
+  return { reply: build(dateLabel, timeLbl), nextStage: "done" };
+}
+
+/**
+ * Drives the recall_asked_datetime / recall_asked_time_for_date stages:
+ * parses a date (and optionally a time) out of the patient's reply, checks
+ * office hours, then books via bookRecallSlot() once both pieces are known.
+ */
+export async function runRecallBookingStep(
+  message:   string,
+  stage:     ConversationStage,
+  language:  string,
+  patientId: number,
+  userId:    number,
+  apiKey:    string,
+  provider: AiProvider = "google",
+  model?: string
+): Promise<{ reply: string; nextStage: ConversationStage }> {
+  const lang = language || "English";
+
+  // ── Waiting on a time only (date was already captured last turn) ─────────
+  if (stage === "recall_asked_time_for_date") {
+    const pending = getPendingReschedule(userId, patientId);
+    if (!pending) {
+      return { reply: NO_DATE_FALLBACKS[lang] ?? NO_DATE_FALLBACKS["English"]!, nextStage: "recall_asked_datetime" };
+    }
+    const time = await parseTime(message, apiKey, provider, model);
+    if (!time) {
+      const build = ASK_TIME_FALLBACKS[lang] ?? ASK_TIME_FALLBACKS["English"]!;
+      return { reply: build(pending.dayLabel), nextStage: "recall_asked_time_for_date" };
+    }
+    return await resolveDateTime(patientId, userId, pending.newDate, pending.dayLabel, time, lang);
+  }
+
+  // ── recall_initial (yes, with a date already in the same message) or
+  // recall_asked_datetime — parse a date out of the message ────────────────
+  const parsedDate = await parseDateOnlyFromMessage(message, apiKey, provider, model);
+  if (!parsedDate) {
+    return { reply: NO_DATE_FALLBACKS[lang] ?? NO_DATE_FALLBACKS["English"]!, nextStage: "recall_asked_datetime" };
+  }
+
+  const dayCheck = await isOfficeDayOpen(parsedDate.date, userId);
+  if (!dayCheck.open) {
+    const build = CLOSED_DAY_FALLBACKS[lang] ?? CLOSED_DAY_FALLBACKS["English"]!;
+    return { reply: build(dayCheck.displayDay), nextStage: "recall_asked_datetime" };
+  }
+
+  const time = await parseTime(message, apiKey, provider, model);
+  if (!time) {
+    setPendingReschedule(userId, patientId, { newDate: parsedDate.date, dayLabel: parsedDate.dateLabel });
+    const build = ASK_TIME_FALLBACKS[lang] ?? ASK_TIME_FALLBACKS["English"]!;
+    return { reply: build(parsedDate.dateLabel), nextStage: "recall_asked_time_for_date" };
+  }
+
+  return await resolveDateTime(patientId, userId, parsedDate.date, parsedDate.dateLabel, time, lang);
+}
+
+async function resolveDateTime(
+  patientId: number, userId: number, date: Date, dateLabel: string, time: string, lang: string,
+): Promise<{ reply: string; nextStage: ConversationStage }> {
+  const withinHours = await isWithinOfficeHours(date, time, userId);
+  if (!withinHours) {
+    const hoursDisplay = await getOfficeHoursDisplay(date, userId);
+    setPendingReschedule(userId, patientId, { newDate: date, dayLabel: dateLabel });
+    const base: Record<string, string> = {
+      English:          `We're not available at that time on ${dateLabel}.`,
+      Spanish:          `No estamos disponibles a esa hora el ${dateLabel}.`,
+      Portuguese:       `Não estamos disponíveis nesse horário em ${dateLabel}.`,
+      Mandarin:         `我们在 ${dateLabel} 的那个时间不营业。`,
+      Cantonese:        `我們喺 ${dateLabel} 嗰個時間唔開放。`,
+      Arabic:           `نحن غير متاحين في ذلك الوقت يوم ${dateLabel}.`,
+      "Haitian Creole": `Nou pa disponib nan lè sa a nan ${dateLabel}.`,
+    };
+    const askTime = (ASK_TIME_FALLBACKS[lang] ?? ASK_TIME_FALLBACKS["English"]!)(dateLabel);
+    const hours = hoursDisplay ? ` ${hoursDisplay}.` : "";
+    return { reply: `${base[lang] ?? base["English"]}${hours} ${askTime}`, nextStage: "recall_asked_time_for_date" };
+  }
+
+  clearPendingReschedule(userId, patientId);
+  return await bookRecallSlot(patientId, userId, date, dateLabel, time, lang);
+}

apps/Backend/src/routes/ai-settings.ts

@@ -240,8 +240,8 @@ router.put("/call-templates", async (req: Request, res: Response): Promise<any>
   try {
     const userId = req.user?.id;
     if (!userId) return res.status(401).json({ message: "Unauthorized" });
-    const { greeting, reminderGreeting, newPatientGreeting, generalFallback } = req.body;
+    const { greeting, reminderGreeting, newPatientGreeting, generalFallback, recallGreeting } = req.body;
-    await storage.saveAiCallTemplates(userId, { greeting, reminderGreeting, newPatientGreeting, generalFallback });
+    await storage.saveAiCallTemplates(userId, { greeting, reminderGreeting, newPatientGreeting, generalFallback, recallGreeting });
     const updated = await storage.getAiCallTemplates(userId);
     return res.status(200).json(updated);
   } catch (err) {

apps/Backend/src/routes/twilio-webhooks.ts

@@ -19,7 +19,7 @@ import {
 } from "../ai/patient-conversation-router";
 import {
   getHandoff, getAfterHoursHandoff,
-  getStage, setStage, resetConversation,
+  getStage, setStage, resetConversation, startRecallConversation,
   setPendingReschedule, getPendingReschedule, clearPendingReschedule,
   type ConversationStage,
 } from "../ai/aiHandoffStore";
@@ -696,6 +696,7 @@ router.post("/webhook/ai-voice", async (req: Request, res: Response): Promise<an
   try {
     const { CallSid, SpeechResult } = req.body as { CallSid?: string; SpeechResult?: string };
     const patientIdParam = req.query.patientId as string | undefined;
+    const purposeParam = req.query.purpose as string | undefined;
     if (!CallSid) return res.send(aiVoiceHangup("Sorry, something went wrong. Goodbye."));
 
     let session = aiCallSessions.get(CallSid);
@@ -713,13 +714,17 @@ router.post("/webhook/ai-voice", async (req: Request, res: Response): Promise<an
 
       const language = patient.preferredLanguage || "English";
       const locale = voiceLocaleFor(language);
+      const isRecallCall = purposeParam === "recall";
 
       // Resume an in-progress cross-channel conversation (e.g. mid-reschedule
-      // from a prior text) if one exists; otherwise start a fresh reminder-style
+      // from a prior text) if one exists; otherwise start a fresh check-in call.
-      // check-in call, matching the default the reminder-SMS batch send uses.
+      // A "recall" call (staff-triggered from Patient Connection, offering an
+      // existing patient a routine exam & cleaning) seeds a different stage
+      // than the default reminder-style check-in.
       const currentStage = await getStage(patient.userId, patient.id);
       if (currentStage === "initial" || currentStage === "done") {
-        await resetConversation(patient.userId, patient.id);
+        if (isRecallCall) await startRecallConversation(patient.userId, patient.id);
+        else               await resetConversation(patient.userId, patient.id);
       }
 
       const officeContact = await storage.getOfficeContact(patient.userId);
@@ -732,7 +737,7 @@ router.post("/webhook/ai-voice", async (req: Request, res: Response): Promise<an
       };
       aiCallSessions.set(CallSid, session);
 
-      const rawCallTemplate = callTemplates.greeting?.trim() ||
+      const rawCallTemplate = (isRecallCall ? callTemplates.recallGreeting?.trim() : callTemplates.greeting?.trim()) ||
         "Hi {firstName}, this is Lisa, the AI assistant at {officeName}. How can I help you today?";
       const greeting = rawCallTemplate
         .replace(/\{firstName\}/g, patient.firstName || "there")

apps/Backend/src/routes/twilio.ts

@@ -127,7 +127,7 @@ router.post("/make-ai-call", async (req: Request, res: Response): Promise<any> =
     const userId = req.user?.id;
     if (!userId) return res.status(401).json({ message: "Unauthorized" });
 
-    const { to, patientId } = req.body;
+    const { to, patientId, purpose } = req.body;
     if (!to || !patientId) return res.status(400).json({ message: "to and patientId are required" });
 
     const settings = await storage.getTwilioSettings(userId);
@@ -149,7 +149,8 @@ router.post("/make-ai-call", async (req: Request, res: Response): Promise<any> =
     } catch (err: any) {
       return res.status(500).json({ message: err.message });
     }
-    const webhookUrl = `${publicBaseUrl}/api/twilio/webhook/ai-voice?patientId=${patient.id}`;
+    const callPurpose = purpose === "recall" ? "recall" : "reminder";
+    const webhookUrl = `${publicBaseUrl}/api/twilio/webhook/ai-voice?patientId=${patient.id}&purpose=${callPurpose}`;
 
     const client = getTwilioClient(settings.accountSid, settings.authToken);
     const call = await client.calls.create({

apps/Backend/src/storage/twilio-storage.ts

@@ -109,10 +109,12 @@ export const twilioStorage = {
       reminderGreeting:   all["_ai_call_reminder_greeting"]    ?? "Sure, I can help with that.",
       newPatientGreeting: all["_ai_call_new_patient_greeting"] ?? "No problem, let's get you set up.",
       generalFallback:    all["_ai_call_general_fallback"]     ?? "Sure, how can I help?",
+      recallGreeting:     all["_ai_call_recall_greeting"]      ??
+        "Hi {firstName}, this is Lisa from {officeName}. We wanted to check in — you're due for a routine exam and cleaning, which most insurance plans cover at no cost. Would you like to schedule one?",
     };
   },
 
-  async saveAiCallTemplates(userId: number, templates: { greeting?: string; reminderGreeting?: string; newPatientGreeting?: string; generalFallback?: string }) {
+  async saveAiCallTemplates(userId: number, templates: { greeting?: string; reminderGreeting?: string; newPatientGreeting?: string; generalFallback?: string; recallGreeting?: string }) {
     const settings = await db.twilioSettings.findUnique({ where: { userId } });
     const existing = (settings?.templates as Record<string, string>) || {};
     const updated: Record<string, string> = { ...existing };
@@ -120,6 +122,7 @@ export const twilioStorage = {
     if (templates.reminderGreeting    !== undefined) updated["_ai_call_reminder_greeting"]     = templates.reminderGreeting;
     if (templates.newPatientGreeting  !== undefined) updated["_ai_call_new_patient_greeting"]  = templates.newPatientGreeting;
     if (templates.generalFallback     !== undefined) updated["_ai_call_general_fallback"]      = templates.generalFallback;
+    if (templates.recallGreeting      !== undefined) updated["_ai_call_recall_greeting"]       = templates.recallGreeting;
     return db.twilioSettings.upsert({
       where:  { userId },
       update: { templates: updated },

apps/Frontend/src/components/patient-connection/message-thread.tsx

@@ -11,7 +11,7 @@ import {
 } from "@/components/ui/select";
 import { useToast } from "@/hooks/use-toast";
 import { apiRequest, queryClient } from "@/lib/queryClient";
-import { Send, ArrowLeft, FileText, Globe, Bot, UserPlus, CalendarX } from "lucide-react";
+import { Send, ArrowLeft, FileText, Globe, Bot, UserPlus, CalendarX, Phone } from "lucide-react";
 import { Switch } from "@/components/ui/switch";
 import type { Patient, Communication } from "@repo/db/types";
 import { format, isToday, isYesterday, parseISO } from "date-fns";
@@ -534,6 +534,12 @@ export function MessageThread({ patient, onBack, appointmentInfo }: MessageThrea
                             {patient.firstName[0]}{patient.lastName[0]}
                           </div>
                           <div>
+                            {comm.channel === "voice" && (
+                              <div className="flex items-center gap-1 mb-1 text-[10px] font-medium text-muted-foreground">
+                                <Phone className="h-3 w-3" />
+                                Voice call
+                              </div>
+                            )}
                             <div className="p-3 rounded-2xl bg-gray-100 text-gray-900 rounded-tl-md">
                               <p className="text-sm whitespace-pre-wrap break-words">{comm.body}</p>
                             </div>
@@ -545,6 +551,12 @@ export function MessageThread({ patient, onBack, appointmentInfo }: MessageThrea
                       )}
                       {comm.direction === "outbound" && (
                         <div>
+                          {comm.channel === "voice" && (
+                            <div className="flex items-center justify-end gap-1 mb-1 text-[10px] font-medium text-muted-foreground">
+                              <Phone className="h-3 w-3" />
+                              Voice call
+                            </div>
+                          )}
                           <div className="p-3 rounded-2xl bg-primary text-primary-foreground rounded-tr-md">
                             <p className="text-sm whitespace-pre-wrap break-words">{comm.body}</p>
                           </div>

apps/Frontend/src/components/settings/ai-chat-settings-card.tsx

@@ -7,7 +7,7 @@ import { Textarea } from "@/components/ui/textarea";
 import { Switch } from "@/components/ui/switch";
 import { useToast } from "@/hooks/use-toast";
 import { apiRequest, queryClient } from "@/lib/queryClient";
-import { Bot, CalendarCheck, UserPlus, MessageCircle, Info, GitFork, MessageSquare, Trash2, Plus, Zap, SlidersHorizontal, BookMarked, ChevronDown, ChevronUp, PhoneCall } from "lucide-react";
+import { Bot, CalendarCheck, UserPlus, MessageCircle, Info, GitFork, MessageSquare, Trash2, Plus, Zap, SlidersHorizontal, BookMarked, ChevronDown, ChevronUp, PhoneCall, Stethoscope } from "lucide-react";
 import { Tabs, TabsList, TabsTrigger, TabsContent } from "@/components/ui/tabs";
 
 // ─── Types ────────────────────────────────────────────────────────────────────
@@ -25,6 +25,7 @@ type AiCallTemplates = {
   reminderGreeting: string;
   newPatientGreeting: string;
   generalFallback: string;
+  recallGreeting: string;
 };
 
 type OfficeContact = {
@@ -51,6 +52,8 @@ const CALL_DEFAULTS = {
   reminderGreeting: "Sure, I can help with that.",
   newPatientGreeting: "No problem, let's get you set up.",
   generalFallback: "Sure, how can I help?",
+  recallGreeting:
+    "Hi {firstName}, this is Lisa from {officeName}. We wanted to check in — you're due for a routine exam and cleaning, which most insurance plans cover at no cost. Would you like to schedule one?",
 };
 
 const DEFAULT_SMS_TEMPLATES = [
@@ -82,18 +85,19 @@ function LangGraphFlow() {
   const nW = 210;
   const nx = cx - nW / 2; // 245
 
-  // ── Dual entry nodes ──────────────────────────────────────────────────────
+  // ── Triple entry nodes ─────────────────────────────────────────────────────
-  const entryW    = 192;
+  const entryW    = 150;
-  const lEntryCx  = 155;
+  const lEntryCx  = 130;
-  const rEntryCx  = 545;
+  const mEntryCx  = cx; // 350
-  const e1y = 14, e1h = 56;
+  const rEntryCx  = 570;
+  const e1y = 14, e1h = 70;
 
-  // Merge connector (horizontal line where both branches meet)
+  // Merge connector (horizontal line where all three entries meet)
-  const mergeY = e1y + e1h + 14; // 84
+  const mergeY = e1y + e1h + 14; // 98
 
   // ── Center sequence ───────────────────────────────────────────────────────
-  const n2y = mergeY + 14, n2h = 52;   // Patient replies  y=98
+  const n2y = mergeY + 14, n2h = 52;   // Patient replies
-  const n3y = n2y + n2h + 14, n3h = 84; // AI classifies   y=164
+  const n3y = n2y + n2h + 14, n3h = 98; // AI classifies
 
   const forkHY = n3y + n3h + 22; // 270
 
@@ -103,7 +107,7 @@ function LangGraphFlow() {
 
   // ── YES branch ────────────────────────────────────────────────────────────
   const yesW  = 195;
-  const yes1y = forkHY + 50, yes1h = 88; // y=320
+  const yes1y = forkHY + 50, yes1h = 102; // y=320
   const yes2y = yes1y + yes1h + 12, yes2h = 52; // y=460
 
   // ── NO / Reschedule branch ────────────────────────────────────────────────
@@ -128,7 +132,7 @@ function LangGraphFlow() {
       viewBox={`0 0 ${W} ${totalH}`}
       className="w-full max-w-2xl mx-auto"
       role="img"
-      aria-label="LangGraph Reminder and Reschedule conversation flow"
+      aria-label="LangGraph Reminder, Recall, and Reschedule conversation flow"
     >
       <defs>
         <marker id="rg2ah" markerWidth="10" markerHeight="7"
@@ -145,20 +149,29 @@ function LangGraphFlow() {
         </marker>
       </defs>
 
-      {/* ══ DUAL ENTRY NODES ════════════════════════════════════════════ */}
+      {/* ══ TRIPLE ENTRY NODES ════════════════════════════════════════════ */}
 
       {/* Left: Reminder SMS */}
       <rect x={lEntryCx-entryW/2} y={e1y} width={entryW} height={e1h} rx={8} fill="#EFF6FF" stroke="#3B82F6" strokeWidth={1.5} />
-      <text x={lEntryCx} y={e1y+22} textAnchor="middle" fontSize={12} fontWeight="600" fill="#1D4ED8">Office sends Reminder SMS</text>
+      <text x={lEntryCx} y={e1y+22} textAnchor="middle" fontSize={12} fontWeight="600" fill="#1D4ED8">Office sends Reminder</text>
-      <text x={lEntryCx} y={e1y+40} textAnchor="middle" fontSize={9} fill="#93C5FD">Staff triggers batch send</text>
+      <text x={lEntryCx} y={e1y+38} textAnchor="middle" fontSize={12} fontWeight="600" fill="#1D4ED8">SMS or Call</text>
+      <text x={lEntryCx} y={e1y+56} textAnchor="middle" fontSize={9} fill="#93C5FD">Staff triggers batch send</text>
+
+      {/* Middle: Recall call/SMS for an existing patient */}
+      <rect x={mEntryCx-entryW/2} y={e1y} width={entryW} height={e1h} rx={8} fill="#F5F3FF" stroke="#8B5CF6" strokeWidth={1.5} />
+      <text x={mEntryCx} y={e1y+22} textAnchor="middle" fontSize={12} fontWeight="600" fill="#5B21B6">Office call or SMS for</text>
+      <text x={mEntryCx} y={e1y+38} textAnchor="middle" fontSize={12} fontWeight="600" fill="#5B21B6">an existing patient</text>
+      <text x={mEntryCx} y={e1y+56} textAnchor="middle" fontSize={9} fill="#C4B5FD">Recall: free exam &amp; cleaning</text>
 
       {/* Right: Reschedule by Office SMS */}
       <rect x={rEntryCx-entryW/2} y={e1y} width={entryW} height={e1h} rx={8} fill="#FFF7ED" stroke="#F97316" strokeWidth={1.5} />
-      <text x={rEntryCx} y={e1y+22} textAnchor="middle" fontSize={12} fontWeight="600" fill="#C2410C">Office sends Reschedule SMS</text>
+      <text x={rEntryCx} y={e1y+22} textAnchor="middle" fontSize={12} fontWeight="600" fill="#C2410C">Office sends Reschedule</text>
-      <text x={rEntryCx} y={e1y+40} textAnchor="middle" fontSize={9} fill="#FDBA74">"Reschedule by Office" template</text>
+      <text x={rEntryCx} y={e1y+38} textAnchor="middle" fontSize={12} fontWeight="600" fill="#C2410C">SMS</text>
+      <text x={rEntryCx} y={e1y+56} textAnchor="middle" fontSize={9} fill="#FDBA74">"Reschedule by Office" template</text>
 
       {/* Converging lines → horizontal merge → Patient replies */}
       <line x1={lEntryCx} y1={e1y+e1h} x2={lEntryCx} y2={mergeY}  stroke="#9CA3AF" strokeWidth={1.5} />
+      <line x1={mEntryCx} y1={e1y+e1h} x2={mEntryCx} y2={mergeY}  stroke="#9CA3AF" strokeWidth={1.5} />
       <line x1={rEntryCx} y1={e1y+e1h} x2={rEntryCx} y2={mergeY}  stroke="#9CA3AF" strokeWidth={1.5} />
       <line x1={lEntryCx} y1={mergeY}   x2={rEntryCx} y2={mergeY}  stroke="#9CA3AF" strokeWidth={1.5} />
       <line x1={cx}       y1={mergeY}   x2={cx}        y2={n2y-2}   stroke="#9CA3AF" strokeWidth={1.5} markerEnd="url(#rg2ah)" />
@@ -173,10 +186,11 @@ function LangGraphFlow() {
 
       {/* N3: AI classifies */}
       <rect x={nx} y={n3y} width={nW} height={n3h} rx={8} fill="#ECFDF5" stroke="#10B981" strokeWidth={1.5} />
-      <text x={cx} y={n3y+20} textAnchor="middle" fontSize={12} fontWeight="700" fill="#065F46">Google AI classifies YES / NO</text>
+      <text x={cx} y={n3y+18} textAnchor="middle" fontSize={12} fontWeight="700" fill="#065F46">Google AI classifies YES / NO</text>
-      <text x={cx} y={n3y+36} textAnchor="middle" fontSize={10} fontWeight="600" fill="#1D4ED8">Reminder: intro (MSG 1) + reply (MSG 2)</text>
+      <text x={cx} y={n3y+33} textAnchor="middle" fontSize={10} fontWeight="600" fill="#1D4ED8">Reminder: intro (MSG 1) + reply (MSG 2)</text>
-      <text x={cx} y={n3y+52} textAnchor="middle" fontSize={10} fontWeight="600" fill="#C2410C">Reschedule: reply sent directly</text>
+      <text x={cx} y={n3y+48} textAnchor="middle" fontSize={10} fontWeight="600" fill="#C2410C">Reschedule: reply sent directly</text>
-      <text x={cx} y={n3y+70} textAnchor="middle" fontSize={9} fill="#6B7280" fontStyle="italic">Date in reply → AI skips to Day Check</text>
+      <text x={cx} y={n3y+63} textAnchor="middle" fontSize={10} fontWeight="600" fill="#5B21B6">Recall: same as Reschedule flow</text>
+      <text x={cx} y={n3y+82} textAnchor="middle" fontSize={9} fill="#6B7280" fontStyle="italic">Date in reply → AI skips to Day Check</text>
 
       {/* Fork lines */}
       <line x1={cx}  y1={n3y+n3h} x2={cx}  y2={forkHY}  stroke="#9CA3AF" strokeWidth={1.5} />
@@ -193,10 +207,11 @@ function LangGraphFlow() {
       {/* ══ YES BRANCH ══════════════════════════════════════════════════ */}
 
       <rect x={lcx-yesW/2} y={yes1y} width={yesW} height={yes1h} rx={8} fill="#F0FDF4" stroke="#22C55E" strokeWidth={1.5} />
-      <text x={lcx} y={yes1y+18} textAnchor="middle" fontSize={10} fontWeight="600" fill="#15803D">Reminder: Thank you for confirming!</text>
+      <text x={lcx} y={yes1y+16} textAnchor="middle" fontSize={10} fontWeight="600" fill="#15803D">Reminder: Thank you for confirming!</text>
-      <text x={lcx} y={yes1y+34} textAnchor="middle" fontSize={10} fontWeight="600" fill="#C2410C">Reschedule: What day &amp; time?</text>
+      <text x={lcx} y={yes1y+31} textAnchor="middle" fontSize={10} fontWeight="600" fill="#C2410C">Reschedule: What day &amp; time?</text>
-      <text x={lcx} y={yes1y+52} textAnchor="middle" fontSize={9} fill="#6B7280" fontStyle="italic">"See you on [date &amp; time]"</text>
+      <text x={lcx} y={yes1y+46} textAnchor="middle" fontSize={10} fontWeight="600" fill="#5B21B6">Recall: What day &amp; time?</text>
-      <text x={lcx} y={yes1y+70} textAnchor="middle" fontSize={8} fill="#047857">date in reply → Day Check ↘</text>
+      <text x={lcx} y={yes1y+64} textAnchor="middle" fontSize={9} fill="#6B7280" fontStyle="italic">"See you on [date &amp; time]"</text>
+      <text x={lcx} y={yes1y+80} textAnchor="middle" fontSize={8} fill="#047857">date in reply → Day Check ↘</text>
       <line x1={lcx} y1={yes1y+yes1h} x2={lcx} y2={yes2y-2} stroke="#9CA3AF" strokeWidth={1.5} markerEnd="url(#rg2ah)" />
 
       {/* Yes2: Patient thanks */}
@@ -206,7 +221,7 @@ function LangGraphFlow() {
 
       {/* Dashed shortcut: YES with date → Day Check */}
       <line
-        x1={lcx + yesW/2} y1={yes1y + 52}
+        x1={lcx + yesW/2} y1={yes1y + 64}
         x2={rcx - noW/2 - 2} y2={no2y + 34}
         stroke="#047857" strokeWidth={1} strokeDasharray="4 3"
         markerEnd="url(#rg2short)"
@@ -1030,6 +1045,7 @@ export function AiChatSettingsCard() {
   const [callReminderGreeting,   setCallReminderGreeting]   = useState(CALL_DEFAULTS.reminderGreeting);
   const [callNewPatientGreeting, setCallNewPatientGreeting] = useState(CALL_DEFAULTS.newPatientGreeting);
   const [callGeneralFallback,    setCallGeneralFallback]    = useState(CALL_DEFAULTS.generalFallback);
+  const [callRecallGreeting,     setCallRecallGreeting]     = useState(CALL_DEFAULTS.recallGreeting);
   const callInitialized = useRef(false);
 
   const [openPhoneReply, setOpenPhoneReply] = useState(false);
@@ -1130,6 +1146,7 @@ export function AiChatSettingsCard() {
       setCallReminderGreeting(callTemplatesData.reminderGreeting     || CALL_DEFAULTS.reminderGreeting);
       setCallNewPatientGreeting(callTemplatesData.newPatientGreeting || CALL_DEFAULTS.newPatientGreeting);
       setCallGeneralFallback(callTemplatesData.generalFallback       || CALL_DEFAULTS.generalFallback);
+      setCallRecallGreeting(callTemplatesData.recallGreeting         || CALL_DEFAULTS.recallGreeting);
     }
   }, [callTemplatesData]);
 
@@ -1215,6 +1232,7 @@ export function AiChatSettingsCard() {
       reminderGreeting:    callReminderGreeting.trim()     || CALL_DEFAULTS.reminderGreeting,
       newPatientGreeting:  callNewPatientGreeting.trim()   || CALL_DEFAULTS.newPatientGreeting,
       generalFallback:     callGeneralFallback.trim()      || CALL_DEFAULTS.generalFallback,
+      recallGreeting:      callRecallGreeting.trim()       || CALL_DEFAULTS.recallGreeting,
     });
   };
 
@@ -1268,12 +1286,21 @@ export function AiChatSettingsCard() {
     {
       key: "callGreeting",
       icon: <PhoneCall className="h-4 w-4 text-primary" />,
-      label: "Call Opening Greeting",
+      label: "Call an existing patient for an appointment",
       description: "Lisa's opening line when placing an AI Call to a patient — use {firstName} and {officeName} as placeholders.",
       value: callGreeting,
       onChange: setCallGreeting,
       placeholder: CALL_DEFAULTS.greeting,
     },
+    {
+      key: "callRecall",
+      icon: <Stethoscope className="h-4 w-4 text-primary" />,
+      label: "Recall Call: Existing Patient Check-Up Offer",
+      description: "Lisa's opening line for a Patient Connection \"AI Call\" — offers an existing patient a routine exam & cleaning (most insurance covers it at no cost) and asks if they'd like to book. Use {firstName} and {officeName} as placeholders.",
+      value: callRecallGreeting,
+      onChange: setCallRecallGreeting,
+      placeholder: CALL_DEFAULTS.recallGreeting,
+    },
     {
       key: "callReminder",
       icon: <CalendarCheck className="h-4 w-4 text-primary" />,
@@ -1582,6 +1609,7 @@ export function AiChatSettingsCard() {
                     setCallReminderGreeting(CALL_DEFAULTS.reminderGreeting);
                     setCallNewPatientGreeting(CALL_DEFAULTS.newPatientGreeting);
                     setCallGeneralFallback(CALL_DEFAULTS.generalFallback);
+                    setCallRecallGreeting(CALL_DEFAULTS.recallGreeting);
                   }}
                 >
                   Reset to defaults

apps/Frontend/src/pages/patient-connection-page.tsx

@@ -112,7 +112,7 @@ export default function PatientConnectionPage() {
       to: string;
       patientId: number;
     }) => {
-      return apiRequest("POST", "/api/twilio/make-ai-call", { to, patientId });
+      return apiRequest("POST", "/api/twilio/make-ai-call", { to, patientId, purpose: "recall" });
     },
     onSuccess: () => {
       toast({