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Issue 002 · April 2026

Product Dispatch

Peregrine Health · Internal

First Appointment Booked

Live

On March 10, Angela Walther logged in and booked the first appointment on Peregrine OS.

Three weeks later: 5 partners are live. 21 providers are scheduling. 2,746 appointments have been booked and 5,700 patient texts have been sent!

Thank you to everyone who has contributed to making the launch a success!


Notifications, Zoom, and Regions

Released

Notifications are now configurable. We have a set reminder cadence for SMS and email notifications—1 week out, 48 hours, 24 hours, 2 hours, 1 hour, 15 minutes, 10 minutes. Templates are customizable by visit type, so a Telehealth intake feels different from a medication management follow-up. All communication is available in English and Spanish, based on a patient’s preferred language.

Zoom is native to the booking. When a virtual visit is scheduled, a Zoom meeting is created automatically. The link goes straight into the confirmation and reminder.

Regions are live in the scheduler. Clinics can now be grouped by region, with a region selector in the scheduling UI and filtered clinic views. For multi-site organizations, this is the foundation for a more streamlined experience.

Schedulers can now move and convert bookings more fluidly. Push a booking to another clinic. Convert an in-clinic visit to remote. These are things that happen every day, and they should be fast.

Better visibility. The new Booking Audit View shows the full history of any booking. External calendar modifications are now tracked and visible. EHR confirmation status is now per-booking, with UI indicators.

Under the Hood

This release included significant work that won’t show up in any UI: new database tables for booking audit history, Zoom meeting state, and notification settings; webhook handling for Zoom meeting lifecycle events; a full FHIR service rewrite for Emma; and Cronofy event mapping updates for external calendar sync.

See full release notes →


What Our Users Are Saying

First Pulse Survey · March 2026
4.2
Ease of Use
4.1
Satisfaction
4.2
Access to Care
78%
Favorable

18 users responded. 69% response rate. The signal is strong. So is the feedback.

“This is far better than I had hoped. Keep up the good work!”

— Provider

“The OS scheduling itself is working well and I’ve found it very user-friendly.”

— Scheduler

“I have personally found it more stressful… going back and forth between my eCW calendar and Peregrine OS calendar.”

— Admin / Operations

“We’re still having some issues with HP providers’ schedules. Some appointments booked in eCW before OS implementation are not showing up.”

— Provider

The themes are consistent across roles: the scheduling experience works. The gap between Peregrine OS and the EMR is where friction lives. Reconciling appointments manually, verifying visit types by hand, confirming EHR entries separately.

The top requests: EMR / eCW integration, recurring appointment scheduling, a calendar date picker, room and kiosk availability at booking, and waitlist tools for last-minute fills.


What’s Next

Field Notes

Fast Company · January 2026
How AI Will Make Behavioral Health More Human in 2026
AI that supports clinicians instead of replacing them. Sound familiar?
TikTok / @longliveai · March 2026
AI Cat Porch Musician
A Sora 2 generated cat performing a full concert on a suburban porch at midnight. 6 million views. Would you open the door or buy tickets?