This document describes a patented, cloud-based system called MD Backline that automates patient contact before and after office visits through email or SMS. The system aims to improve patient care by asking how treatment is going, providing customized education, answering questions, collecting outcomes data, and generating research revenue. MD Backline has been tested with over 5,000 responses showing high response rates and positive feedback. It has delivered value to practices by reducing calls and documenting education. After two years of funding operations through $900k in revenue, projections estimate $4.9M in year 1 revenue growing to over $70M in year 3. The next steps are to expand to more specialties, EHR platforms, and seek investment partners.