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PatientNow Integration Troubleshooting Guide

Use this guide to diagnose and fix the most common PatientNow integration issues.


Before you start — check the Notes tab

Open the contact record in Aesthetix CRM and click Notes. Every time the integration receives an event from PatientNow, it automatically adds a note with the appointment status, service, date, and location.

  • Note exists → the integration received the event. Jump to the relevant section below.

  • No note exists → the integration did not receive the event. Start with the steps below.

This single check tells you where the problem is.


"A patient was booked in PatientNow but they're still in the Lead stage"

No note on the contact record. The appointment type may be new or unrecognized.

Every appointment type in PatientNow must be registered in your Aesthetix CRM settings. If an appointment type was recently added or renamed in PatientNow, the integration will not know how to process it.

  1. Find the exact name of the appointment type as it appears in PatientNow

  2. Contact Aesthetix CRM support with that name

  3. Once added to your settings, future appointments of that type will sync correctly

The contact may be missing a phone number or email address.

The integration requires at least one of these to match or create a contact record. If missing:

  1. Add the phone number or email address to the patient record in PatientNow

  2. Rebook or update the appointment to re-trigger the sync

Multiple contacts affected over the same time period.

This indicates a connection issue rather than a data problem. Contact Aesthetix CRM support immediately with the date the issue started and two or three example patient names.


Note exists but the pipeline didn't move

The appointment type is likely miscategorized or missing from the categorization document.

  1. Check the note — it shows the exact appointment type name from PatientNow

  2. Cross-reference it against your Appointment Categorization Document

  3. If it is wrong or missing, contact Aesthetix CRM support with the correct category

Appointment categories:

Category

Use for

Non-Surgical Consult

First consultation for injectables, lasers, or skin treatments

Non-Surgical Appointment

The actual treatment visit

Surgical Consult

First consultation for surgical procedures

Surgical Appointment

The actual surgical procedure

Pre-Op Appointment

Pre-surgery visits — does not trigger a pipeline move

Post-Op Appointment

Post-surgery follow-ups — does not trigger a pipeline move

Block

Internal meetings, lunches, admin blocks — excluded from all automation


"A patient checked out but the opportunity value didn't update"

The opportunity value updates when an order is fully closed in PatientNow's sales register — not when the appointment is marked complete.

  1. Confirm the order was fully closed at the register in PatientNow

  2. Check the contact's Notes tab for an Order Closed note

  3. If the note exists but the value didn't update, contact support with a screenshot

  4. If no note exists, the order was not fully processed — confirm with your front desk


"I added a contact in Aesthetix CRM but they're not showing up in PatientNow"

Patient creation from Aesthetix CRM to PatientNow is triggered by a tag.

  1. Open the contact record in Aesthetix CRM

  2. Add the tag pnow-create

  3. Wait 15–30 seconds and check PatientNow

If the patient still does not appear, confirm all six required fields are populated:

Required field

Location in Aesthetix CRM

First name

Contact Info

Last name

Contact Info

Email address

Contact Info

Phone number

Contact Info

Date of birth

Contact Info → Additional Info

Gender

Contact Info → Additional Info

  • PatientNow will reject the patient creation if any of these are missing. Add the missing information and re-apply the tag.


"A membership was sold but nothing happened in Aesthetix CRM"

  1. Check the contact's Notes tab for an Order Closed note with the membership details

  2. If no note exists, confirm the membership was sold and fully closed through PatientNow's register — not just added to the patient profile

  3. If the note exists but workflows did not trigger, contact support with a screenshot


When to contact support

Situation

Action

New or unrecognized appointment type

Contact support with the appointment type name

Missing phone, email, DOB, or gender

Update the contact record, then retry

Wrong tag applied

Apply the correct tag and retry

Pipeline moved to wrong stage

Contact support to update the categorization

Multiple patients affected simultaneously

Contact support immediately

Note exists but action didn't fire

Contact support with the contact name and note screenshot


What each note type means

Note

What it means

Appointment Booked

Booking event received — contact should have moved to Booked stage

Appointment Status Update

Status changed in PatientNow — confirmed, no show, or cancelled

Order Closed

Checkout or membership sale processed — opportunity value should have updated

Patient Created

New patient synced from PatientNow to Aesthetix CRM


Related articles

  • Overview of PatientNow Essentials Integration with Aesthetix CRM

  • Overview of PatientNow Pro Integration with Aesthetix CRM

  • How to Create a Patient in PatientNow Essentials From Aesthetix CRM

  • How to Create a Patient in PatientNow Pro From Aesthetix CRM

  • Appointment Category: How It Works and Why It Matters To Your EMR Integration

  • Understanding Next Visit & Last Visit Fields in EMR Integrations

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