diff --git a/pages/home/message-home.vue b/pages/home/message-home.vue
index 955b46d..ef8c240 100644
--- a/pages/home/message-home.vue
+++ b/pages/home/message-home.vue
@@ -7,10 +7,10 @@
       @add-patient="handleAddPatient"
     />
     <!-- 消息列表 -->
-    <scroll-view
-      class="message-list"
-      scroll-y="true"
-      refresher-enabled
+    <scroll-view
+      class="message-list"
+      scroll-y="true"
+      refresher-enabled
       :refresher-triggered="refreshing"
       @refresherrefresh="handleRefresh"
       @scrolltolower="handleLoadMore"
@@ -83,22 +83,31 @@
       >
         <text class="load-more-text">{{
           loadingMore ? "加载中..." : "上拉加载更多"
-        }}</text>
-      </view>
-    </scroll-view>
-  </view>
-</template>
-
-<script setup>
-import { ref, computed } from "vue";
+        }}</text>
+      </view>
+    </scroll-view>
+
+    <view class="subscribe-entry" @click="handleSubscribeReminder">
+      <text class="subscribe-entry-text">接收提醒</text>
+    </view>
+  </view>
+</template>
+
+<script setup>
+import { ref, computed } from "vue";
 import { onLoad, onShow, onHide } from "@dcloudio/uni-app";
 import { storeToRefs } from "pinia";
 import useAccountStore from "@/store/account.js";
 import useTeamStore from "@/store/team.js";
-import useInfoCheck from "@/hooks/useInfoCheck.js";
-import { globalTimChatManager } from "@/utils/tim-chat.js";
-import { mergeConversationWithGroupDetails } from "@/utils/conversation-merger.js";
-import MessageHeader from "../home/components/message-header.vue";
+import useInfoCheck from "@/hooks/useInfoCheck.js";
+import { globalTimChatManager } from "@/utils/tim-chat.js";
+import { mergeConversationWithGroupDetails } from "@/utils/conversation-merger.js";
+import MessageHeader from "../home/components/message-header.vue";
+import { requestConversationSubscribeMessage } from "@/utils/subscribe-message";
+import {
+  SUBSCRIBE_MESSAGE_ROLE,
+  SUBSCRIBE_MESSAGE_SCENE,
+} from "@/utils/subscribe-message-config";
 
 // 获取登录状态
 const { account, openid, isIMInitialized, doctorInfo } = storeToRefs(
@@ -633,14 +642,29 @@ const handleLoadMore = () => {
 };
 
 // 下拉刷新
-const handleRefresh = async () => {
-  refreshing.value = true;
-  try {
-    await loadConversationList();
-  } finally {
-    refreshing.value = false;
-  }
-};
+const handleRefresh = async () => {
+  refreshing.value = true;
+  try {
+    await loadConversationList();
+  } finally {
+    refreshing.value = false;
+  }
+};
+
+const handleSubscribeReminder = async () => {
+  await requestConversationSubscribeMessage({
+    role: SUBSCRIBE_MESSAGE_ROLE.DOCTOR,
+    scene: SUBSCRIBE_MESSAGE_SCENE.LIST,
+    userId: doctorInfo.value?.userid || account.value?.userId || "",
+    openid: openid.value || account.value?.openid || "",
+    unionid: account.value?.unionid || "",
+    doctorId: doctorInfo.value?.userid || "",
+    extraData: {
+      teamId: currentTeamId.value || "",
+      page: "pages/home/message-home",
+    },
+  });
+};
 
 // 页面加载
 onLoad(() => {
@@ -840,8 +864,36 @@ onHide(() => {
   text-align: center;
 }
 
-.load-more-text {
-  font-size: 24rpx;
-  color: #999;
-}
-</style>
+.load-more-text {
+  font-size: 24rpx;
+  color: #999;
+}
+
+.subscribe-entry {
+  position: fixed;
+  right: 32rpx;
+  bottom: 180rpx;
+  width: 116rpx;
+  height: 116rpx;
+  border-radius: 58rpx;
+  background: #fff;
+  border: 2rpx solid #3876f6;
+  box-shadow: 0 8rpx 24rpx rgba(56, 118, 246, 0.16);
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  z-index: 20;
+}
+
+.subscribe-entry:active {
+  opacity: 0.85;
+}
+
+.subscribe-entry-text {
+  width: 56rpx;
+  font-size: 24rpx;
+  line-height: 1.4;
+  color: #3876f6;
+  text-align: center;
+}
+</style>
diff --git a/pages/message/chat.scss b/pages/message/chat.scss
index 8b30940..6fa7578 100644
--- a/pages/message/chat.scss
+++ b/pages/message/chat.scss
@@ -29,6 +29,13 @@ $primary-color: #0877F1;
   justify-content: space-between;
 }
 
+.header-actions {
+  display: flex;
+  align-items: center;
+  gap: 12rpx;
+  flex-shrink: 0;
+}
+
 .patient-basic-info {
   display: flex;
   align-items: center;
@@ -76,6 +83,26 @@ $primary-color: #0877F1;
   font-weight: 500;
 }
 
+.remind-btn {
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  padding: 10rpx 20rpx;
+  border-radius: 24rpx;
+  border: 2rpx solid #3876f6;
+  background: #fff;
+}
+
+.remind-btn:active {
+  opacity: 0.85;
+}
+
+.remind-btn-text {
+  font-size: 24rpx;
+  color: #3876f6;
+  line-height: 1.4;
+}
+
 .arrow-icon {
   font-size: 32rpx;
   color: #fff;
diff --git a/pages/message/index.vue b/pages/message/index.vue
index f46b628..d3a1250 100644
--- a/pages/message/index.vue
+++ b/pages/message/index.vue
@@ -3,17 +3,22 @@
     <!-- 患者信息栏 -->
     <view class="patient-info-bar" v-if="patientInfo.name">
       <view class="patient-info-content">
-        <view class="patient-basic-info">
-          <text class="patient-name">{{ patientInfo.name }}</text>
-          <text class="patient-detail"
-            >{{ patientInfo.sex }} · {{ patientInfo.age }}岁</text
-          >
-        </view>
-        <view class="patient-detail-btn" @click="handleViewPatientDetail">
-          <text class="detail-btn-text">查看档案</text>
-        </view>
-      </view>
-    </view>
+        <view class="patient-basic-info">
+          <text class="patient-name">{{ patientInfo.name }}</text>
+          <text class="patient-detail"
+            >{{ patientInfo.sex }} · {{ patientInfo.age }}岁</text
+          >
+        </view>
+        <view class="header-actions">
+          <view class="patient-detail-btn" @click="handleViewPatientDetail">
+            <text class="detail-btn-text">查看档案</text>
+          </view>
+          <view class="remind-btn" @click="handleSubscribeReminder">
+            <text class="remind-btn-text">接收提醒</text>
+          </view>
+        </view>
+      </view>
+    </view>
 
     <!-- 聊天消息区域 -->
     <scroll-view
@@ -222,11 +227,16 @@ import MessageTypes from "./components/message-types.vue";
 import ChatInput from "./components/chat-input.vue";
 import SystemMessage from "./components/system-message.vue";
 import ConsultAccept from "./components/consult-accept.vue";
-import RejectReasonModal from "./components/reject-reason-modal.vue";
-import AIAssistantButtons from "./components/ai-assistant-buttons.vue";
-import MedicalCaseTypeSelector from "./components/medical-case-type-selector.vue";
-import MedicalCaseProgress from "./components/medical-case-progress.vue";
-import request from "@/utils/http.js";
+import RejectReasonModal from "./components/reject-reason-modal.vue";
+import AIAssistantButtons from "./components/ai-assistant-buttons.vue";
+import MedicalCaseTypeSelector from "./components/medical-case-type-selector.vue";
+import MedicalCaseProgress from "./components/medical-case-progress.vue";
+import request from "@/utils/http.js";
+import { requestConversationSubscribeMessage } from "@/utils/subscribe-message";
+import {
+  SUBSCRIBE_MESSAGE_ROLE,
+  SUBSCRIBE_MESSAGE_SCENE,
+} from "@/utils/subscribe-message-config";
 
 const timChatManager = globalTimChatManager;
 
@@ -298,7 +308,9 @@ const env = __VITE_ENV__;
 const corpId = env.MP_CORP_ID || "";
 
 // 获取登录状态
-const { account, openid, isIMInitialized } = storeToRefs(useAccountStore());
+const { account, openid, isIMInitialized, doctorInfo } = storeToRefs(
+  useAccountStore()
+);
 const { initIMAfterLogin } = useAccountStore();
 
 // 聊天输入组件引用
@@ -1242,21 +1254,42 @@ const handleRejectReasonCancel = () => {
 };
 
 // 处理查看患者详情
-const handleViewPatientDetail = () => {
-  if (!patientId.value) {
-    uni.showToast({
-      title: "患者信息不完整",
+const handleViewPatientDetail = () => {
+  if (!patientId.value) {
+    uni.showToast({
+      title: "患者信息不完整",
       icon: "none",
     });
     return;
   }
 
-  uni.navigateTo({
-    url: `/pages/case/archive-detail?id=${patientId.value}`,
-  });
-};
-// 处理结束问诊
-const handleEndConsult = async () => {
+  uni.navigateTo({
+    url: `/pages/case/archive-detail?id=${patientId.value}`,
+  });
+};
+
+const handleSubscribeReminder = async () => {
+  await requestConversationSubscribeMessage({
+    role: SUBSCRIBE_MESSAGE_ROLE.DOCTOR,
+    scene: SUBSCRIBE_MESSAGE_SCENE.CHAT,
+    conversationId: chatInfo.value.conversationID || "",
+    groupId: groupId.value || "",
+    corpId: corpId || "",
+    teamId: teamId.value || "",
+    patientId: patientId.value || "",
+    doctorId: doctorInfo.value?.userid || "",
+    userId: doctorInfo.value?.userid || account.value?.userId || "",
+    openid: openid.value || account.value?.openid || "",
+    unionid: account.value?.unionid || "",
+    extraData: {
+      orderStatus: orderStatus.value || "",
+      page: "pages/message/index",
+    },
+  });
+};
+
+// 处理结束问诊
+const handleEndConsult = async () => {
   try {
     uni.showLoading({
       title: "处理中...",
diff --git a/utils/api.js b/utils/api.js
index 0f655e0..fcfbfb4 100644
--- a/utils/api.js
+++ b/utils/api.js
@@ -111,7 +111,9 @@ const urlsConfig = {
     getGroupList: "getGroupList",
     followUpInquiry: "followUpInquiry",
     supplementMedicalCase: "supplementMedicalCase",
-    rejectConsultation: "rejectConsultation"
+    rejectConsultation: "rejectConsultation",
+    saveConversationSubscribeResult: "saveConversationSubscribeResult",
+    sendConversationSubscribeEvent: "sendConversationSubscribeEvent"
   },
   todo: {
     getCustomerTodos: 'getCustomerTodos',
diff --git a/utils/subscribe-message-config.js b/utils/subscribe-message-config.js
new file mode 100644
index 0000000..84667bf
--- /dev/null
+++ b/utils/subscribe-message-config.js
@@ -0,0 +1,63 @@
+const env = __VITE_ENV__;
+
+export const SUBSCRIBE_MESSAGE_ROLE = {
+  PATIENT: "patient",
+  DOCTOR: "doctor",
+};
+
+export const SUBSCRIBE_MESSAGE_SCENE = {
+  DEFAULT: "default",
+  LIST: "list",
+  CHAT: "chat",
+};
+
+export const SUBSCRIBE_MESSAGE_EVENT = {
+  PATIENT_CONSULT_APPLY: "patient_consult_apply",
+  PATIENT_CHAT_MESSAGE: "patient_chat_message",
+  DOCTOR_ACCEPT: "doctor_accept",
+  DOCTOR_REJECT: "doctor_reject",
+  DOCTOR_CHAT_MESSAGE: "doctor_chat_message",
+};
+
+export const SUBSCRIBE_MESSAGE_TEMPLATES = {
+  consultationReply: {
+    code: "consultationReply",
+    role: SUBSCRIBE_MESSAGE_ROLE.DOCTOR,
+    id:
+      env.MP_SUBSCRIBE_TEMPLATE_CONSULT_REPLY ||
+      "1etY1Mdfz9c0xJlI8kx79do3DlZdcG9f4-3SujG-jHs",
+    name: "咨询回复通知",
+    events: [
+      SUBSCRIBE_MESSAGE_EVENT.PATIENT_CONSULT_APPLY,
+      SUBSCRIBE_MESSAGE_EVENT.PATIENT_CHAT_MESSAGE,
+    ],
+    fields: ["咨询人", "患者姓名", "回复时间", "回复内容"],
+  },
+};
+
+export const SUBSCRIBE_MESSAGE_SCENE_TEMPLATE_MAP = {
+  [SUBSCRIBE_MESSAGE_ROLE.DOCTOR]: {
+    [SUBSCRIBE_MESSAGE_SCENE.DEFAULT]: ["consultationReply"],
+    [SUBSCRIBE_MESSAGE_SCENE.LIST]: ["consultationReply"],
+    [SUBSCRIBE_MESSAGE_SCENE.CHAT]: ["consultationReply"],
+  },
+};
+
+export function resolveSubscribeTemplates({
+  role,
+  scene = SUBSCRIBE_MESSAGE_SCENE.DEFAULT,
+} = {}) {
+  const roleMap = SUBSCRIBE_MESSAGE_SCENE_TEMPLATE_MAP[role] || {};
+  const keys =
+    roleMap[scene] || roleMap[SUBSCRIBE_MESSAGE_SCENE.DEFAULT] || [];
+  const seen = new Set();
+
+  return keys
+    .map((key) => SUBSCRIBE_MESSAGE_TEMPLATES[key])
+    .filter((item) => item && item.id)
+    .filter((item) => {
+      if (seen.has(item.id)) return false;
+      seen.add(item.id);
+      return true;
+    });
+}
diff --git a/utils/subscribe-message.js b/utils/subscribe-message.js
new file mode 100644
index 0000000..8309fd8
--- /dev/null
+++ b/utils/subscribe-message.js
@@ -0,0 +1,194 @@
+import api from "@/utils/api";
+import { toast } from "@/utils/widget";
+import { resolveSubscribeTemplates } from "./subscribe-message-config";
+
+const SUBSCRIBE_ACCEPT_STATUS = "accept";
+const SUBSCRIBE_REJECT_STATUS = "reject";
+const SUBSCRIBE_BAN_STATUS = "ban";
+const SUBSCRIBE_FILTER_STATUS = "filter";
+const SUBSCRIBE_CANCEL_STATUS = "cancel";
+const SUBSCRIBE_FAILED_STATUS = "failed";
+
+function canUseSubscribeMessage() {
+  return (
+    typeof wx !== "undefined" &&
+    typeof wx.requestSubscribeMessage === "function"
+  );
+}
+
+function requestSubscribeMessage(tmplIds = []) {
+  return new Promise((resolve) => {
+    wx.requestSubscribeMessage({
+      tmplIds,
+      success(res) {
+        resolve({ ok: true, res });
+      },
+      fail(err) {
+        resolve({ ok: false, err });
+      },
+    });
+  });
+}
+
+function normalizeFailStatus(err = {}) {
+  const errCode = Number(err.errCode || 0);
+  const errMsg = String(err.errMsg || "").toLowerCase();
+
+  if (errCode === 20004 || errMsg.includes("main switch")) {
+    return SUBSCRIBE_BAN_STATUS;
+  }
+  if (errCode === 20005 || errMsg.includes("ban")) {
+    return SUBSCRIBE_BAN_STATUS;
+  }
+  if (errMsg.includes("filter")) {
+    return SUBSCRIBE_FILTER_STATUS;
+  }
+  if (errMsg.includes("cancel")) {
+    return SUBSCRIBE_CANCEL_STATUS;
+  }
+  return SUBSCRIBE_FAILED_STATUS;
+}
+
+function buildTemplateResultRecords(templates = [], requestResult = {}, context = {}) {
+  const requestedAt = Date.now();
+
+  if (requestResult.ok) {
+    const res = requestResult.res || {};
+    return templates.map((template) => ({
+      role: context.role || "",
+      scene: context.scene || "",
+      conversationId: context.conversationId || "",
+      groupId: context.groupId || "",
+      corpId: context.corpId || "",
+      teamId: context.teamId || "",
+      patientId: context.patientId || "",
+      doctorId: context.doctorId || "",
+      userId: context.userId || "",
+      openid: context.openid || "",
+      unionid: context.unionid || "",
+      templateId: template.id,
+      templateCode: template.code,
+      templateName: template.name,
+      eventTypes: template.events,
+      status: String(res[template.id] || SUBSCRIBE_FAILED_STATUS),
+      rawResult: res,
+      requestedAt,
+      extraData: context.extraData || {},
+    }));
+  }
+
+  const status = normalizeFailStatus(requestResult.err);
+  return templates.map((template) => ({
+    role: context.role || "",
+    scene: context.scene || "",
+    conversationId: context.conversationId || "",
+    groupId: context.groupId || "",
+    corpId: context.corpId || "",
+    teamId: context.teamId || "",
+    patientId: context.patientId || "",
+    doctorId: context.doctorId || "",
+    userId: context.userId || "",
+    openid: context.openid || "",
+    unionid: context.unionid || "",
+    templateId: template.id,
+    templateCode: template.code,
+    templateName: template.name,
+    eventTypes: template.events,
+    status,
+    rawResult: requestResult.err || {},
+    requestedAt,
+    extraData: context.extraData || {},
+  }));
+}
+
+function buildToastMessage(records = [], reportResult = { success: false }) {
+  const accepted = records.some((item) => item.status === SUBSCRIBE_ACCEPT_STATUS);
+
+  if (accepted && reportResult?.success === false) {
+    return reportResult?.message || "提醒开启失败，请稍后再试";
+  }
+
+  if (records.some((item) => item.status === SUBSCRIBE_ACCEPT_STATUS)) {
+    return "会话消息提醒开启";
+  }
+  if (records.some((item) => item.status === SUBSCRIBE_BAN_STATUS)) {
+    return "请先在微信设置中开启订阅消息提醒";
+  }
+  if (records.some((item) => item.status === SUBSCRIBE_FILTER_STATUS)) {
+    return "当前提醒模板暂不可用";
+  }
+  if (records.some((item) => item.status === SUBSCRIBE_REJECT_STATUS)) {
+    return "你已拒绝本次提醒订阅";
+  }
+  if (records.some((item) => item.status === SUBSCRIBE_CANCEL_STATUS)) {
+    return "你已取消本次提醒订阅";
+  }
+  return "提醒订阅请求失败，请稍后再试";
+}
+
+async function reportSubscribeResult(records = []) {
+  if (!records.length) return { success: false };
+  try {
+    return await api(
+      "saveConversationSubscribeResult",
+      {
+        records,
+      },
+      false
+    );
+  } catch (error) {
+    console.error("保存订阅结果失败:", error);
+    return { success: false, message: error?.message || "保存失败" };
+  }
+}
+
+export async function requestConversationSubscribeMessage(context = {}) {
+  const templates = resolveSubscribeTemplates({
+    role: context.role,
+    scene: context.scene,
+  });
+  const requestTemplates = templates.slice(0, 1);
+
+  if (!requestTemplates.length) {
+    await toast("暂未配置提醒模板");
+    return {
+      success: false,
+      code: "template_missing",
+      records: [],
+    };
+  }
+
+  if (!canUseSubscribeMessage()) {
+    await toast("当前微信版本不支持订阅消息");
+    return {
+      success: false,
+      code: "unsupported",
+      records: [],
+    };
+  }
+
+  const requestResult = await requestSubscribeMessage(
+    requestTemplates.map((item) => item.id)
+  );
+  const records = buildTemplateResultRecords(
+    requestTemplates,
+    requestResult,
+    context
+  );
+
+  const reportResult = await reportSubscribeResult(records);
+  await toast(buildToastMessage(records, reportResult));
+
+  const subscribeSuccess =
+    records.some((item) => item.status === SUBSCRIBE_ACCEPT_STATUS) &&
+    reportResult?.success !== false;
+
+  return {
+    success: subscribeSuccess,
+    reportResult,
+    records,
+    acceptedTemplateIds: records
+      .filter((item) => item.status === SUBSCRIBE_ACCEPT_STATUS)
+      .map((item) => item.templateId),
+  };
+}