diff --git a/frontend/src/pages/Agenda.tsx b/frontend/src/pages/Agenda.tsx
index c44f3ba..f08da21 100644
--- a/frontend/src/pages/Agenda.tsx
+++ b/frontend/src/pages/Agenda.tsx
@@ -1,6 +1,6 @@
 import type { FC } from 'react';
 import { useEffect, useState, useCallback } from 'react';
-import { Clock, CheckCircle, XCircle, CheckCheck, UserCheck, UserX, Plus, PackageCheck, Sparkles, RotateCcw, LayoutGrid, List, Rows3, Edit2, Ban, Trash2 } from 'lucide-react';
+import { Clock, CheckCircle, XCircle, CheckCheck, UserCheck, UserX, Plus, PackageCheck, Sparkles, RotateCcw, LayoutGrid, List, Rows3, Edit2, Ban, Trash2, Phone } from 'lucide-react';
 import Layout from '../components/Layout';
 import {
   Card,
@@ -59,7 +59,7 @@ const Agenda: FC = () => {
   const [stateFilter, setStateFilter] = useState('');
   const [doctorFilter, setDoctorFilter] = useState(() => (medicoEmployeeId ? String(medicoEmployeeId) : ''));
   const [viewMode, setViewMode] = useState<'lista' | 'doctores' | 'horas'>('doctores');
-  const [quickFilter, setQuickFilter] = useState<'' | 'libres' | 'primera' | 'checkin' | 'noshow'>('');
+  const [quickFilter, setQuickFilter] = useState<'' | 'libres' | 'primera' | 'checkin' | 'noshow' | 'porconfirmar'>('');
   const [detailApt, setDetailApt] = useState<Appointment | null>(null);
   const [editMode, setEditMode] = useState(false);
   const [editForm, setEditForm] = useState({ date: '', time: '', doctor_id: '', notes: '' });
@@ -136,17 +136,52 @@ const Agenda: FC = () => {
     if (a.state !== 'confirmed' || a.date !== todayStr || start === null) return false;
     return start + (a.duration ?? 30) / 60 <= nowFloat;
   };
+  // Sin 1ra confirmación telefónica (misma regla que pending_confirm del API)
+  const isPendingConfirm = (a: Appointment): boolean =>
+    !a.phone_confirmed && !['cancelled', 'no_show', 'done'].includes(a.state);
 
   const visibleAppointments = filteredAppointments.filter((apt) => {
     if (quickFilter === 'primera' && !apt.is_first_visit) return false;
     if (quickFilter === 'checkin' && !isCheckinDue(apt)) return false;
     if (quickFilter === 'noshow' && !isNoShowDue(apt)) return false;
+    if (quickFilter === 'porconfirmar' && !isPendingConfirm(apt)) return false;
     return true;
   });
 
   const countPrimera = filteredAppointments.filter((a) => a.is_first_visit).length;
   const countCheckin = filteredAppointments.filter(isCheckinDue).length;
   const countNoShow = filteredAppointments.filter(isNoShowDue).length;
+  const countPorConfirmar = filteredAppointments.filter(isPendingConfirm).length;
+
+  // Indicador de doble confirmación: sin confirmar (gris) / teléfono (azul) / en clínica (verde)
+  const confirmIndicator = (apt: Appointment, size = 12) => {
+    if (['arrived', 'in_progress', 'done'].includes(apt.state)) {
+      return (
+        <UserCheck size={size} className="inline shrink-0 text-emerald-600"
+          aria-label="2da confirmación: en clínica" />
+      );
+    }
+    if (apt.phone_confirmed) {
+      return (
+        <Phone size={size} className="inline shrink-0 text-blue-600"
+          aria-label={`Confirmada por teléfono${apt.phone_confirmed_by ? ` por ${apt.phone_confirmed_by}` : ''}`} />
+      );
+    }
+    return (
+      <Phone size={size} className="inline shrink-0 text-theme-muted opacity-50"
+        aria-label="Sin confirmar por teléfono" />
+    );
+  };
+
+  const confirmTitle = (apt: Appointment): string => {
+    if (['arrived', 'in_progress', 'done'].includes(apt.state)) return '2da confirmación: llegó a la clínica';
+    if (apt.phone_confirmed) {
+      const quien = apt.phone_confirmed_by ? ` por ${apt.phone_confirmed_by}` : '';
+      const cuando = apt.phone_confirmed_at ? ` el ${apt.phone_confirmed_at}` : '';
+      return `1ra confirmación (teléfono)${quien}${cuando}`;
+    }
+    return 'Sin confirmar por teléfono';
+  };
 
   // ---- Vista por médico (grid doctores x bloques de 15 min) ----
   const GRID_START = 8;  // horario clínica: 8:00
@@ -444,6 +479,21 @@ const Agenda: FC = () => {
     in_progress: 'En curso', done: 'Completada', cancelled: 'Cancelada', no_show: 'No show',
   };
 
+  const handlePhoneConfirm = async (apt: Appointment, confirmed: boolean) => {
+    try {
+      setUpdating(apt.id);
+      const res = await odooApi.phoneConfirm(apt.id, confirmed);
+      toast.success(confirmed ? 'Cita confirmada por teléfono' : 'Confirmación telefónica retirada');
+      if (res.status === 'success' && detailApt?.id === apt.id) setDetailApt(res.appointment);
+      await load();
+    } catch (err) {
+      toast.error('Error al actualizar la confirmación telefónica');
+      console.error(err);
+    } finally {
+      setUpdating(null);
+    }
+  };
+
   const handlePackageFinished = async (id: number, finished: boolean) => {
     try {
       setPkgUpdating(id);
@@ -630,6 +680,7 @@ const Agenda: FC = () => {
         <th className="text-left p-3 text-xs font-medium text-theme-muted uppercase hidden sm:table-cell">Servicio</th>
         <th className="text-left p-3 text-xs font-medium text-theme-muted uppercase hidden md:table-cell">Doctor</th>
         <th className="text-left p-3 text-xs font-medium text-theme-muted uppercase">Estado</th>
+        <th className="text-center p-3 text-xs font-medium text-theme-muted uppercase" title="Doble confirmación: teléfono / llegada">Conf.</th>
         <th className="text-left p-3 text-xs font-medium text-theme-muted uppercase hidden sm:table-cell">Pago</th>
         <th className="text-left p-3 text-xs font-medium text-theme-muted uppercase">Acciones</th>
       </tr>
@@ -862,6 +913,7 @@ const Agenda: FC = () => {
               { key: 'primera', label: 'Primera vez', count: countPrimera },
               { key: 'checkin', label: 'Check-in', count: countCheckin },
               { key: 'noshow', label: 'No show', count: countNoShow },
+              { key: 'porconfirmar', label: 'Por confirmar', count: countPorConfirmar },
             ] as const).map((chip) => (
               <button
                 key={chip.key}
@@ -978,6 +1030,7 @@ const Agenda: FC = () => {
                                       title={`${apt.time} · ${apt.patient} · ${apt.service} · ${apt.state}`}
                                     >
                                       <div className="font-semibold truncate">
+                                        <span title={confirmTitle(apt)} className="mr-1 align-middle">{confirmIndicator(apt)}</span>
                                         {apt.time} · {apt.patient}
                                       </div>
                                       <div className="truncate opacity-75">{apt.service}</div>
@@ -1076,6 +1129,7 @@ const Agenda: FC = () => {
                                       title={`${apt.time} · ${apt.patient} · ${apt.service} · ${apt.state}`}
                                     >
                                       <div className="font-semibold truncate">
+                                        <span title={confirmTitle(apt)} className="mr-0.5 align-middle">{confirmIndicator(apt, 10)}</span>
                                         {apt.time} · {firstName(apt.patient)}
                                       </div>
                                     </div>
@@ -1122,6 +1176,17 @@ const Agenda: FC = () => {
                         <td className="p-3">
                           <Badge variant={badgeForAppointmentState(apt.state)}>{apt.state}</Badge>
                         </td>
+                        <td className="p-3 text-center">
+                          <button
+                            type="button"
+                            onClick={() => handlePhoneConfirm(apt, !apt.phone_confirmed)}
+                            disabled={updating === apt.id || ['arrived', 'in_progress', 'done', 'cancelled', 'no_show'].includes(apt.state)}
+                            title={confirmTitle(apt)}
+                            className="inline-flex disabled:cursor-default"
+                          >
+                            {confirmIndicator(apt, 16)}
+                          </button>
+                        </td>
                         <td className="p-3 text-sm text-theme-muted hidden sm:table-cell">{apt.payment_state}</td>
                         <td className="p-3">
                           <ActionButtons apt={apt} />
@@ -1143,6 +1208,7 @@ const Agenda: FC = () => {
                       { label: 'Hora', value: apt.time },
                       { label: 'Doctor', value: apt.doctor || '-' },
                       { label: 'Estado', value: <Badge variant={badgeForAppointmentState(apt.state)}>{apt.state}</Badge> },
+                      { label: 'Confirmación', value: <span title={confirmTitle(apt)}>{confirmIndicator(apt, 14)}</span> },
                       { label: 'Pago', value: apt.payment_state },
                     ]}
                     actions={<ActionButtons apt={apt} />}
@@ -1525,17 +1591,52 @@ const Agenda: FC = () => {
                 <p className="text-sm text-theme-heading whitespace-pre-wrap">{detailApt.notes}</p>
               </div>
             )}
+            {/* Doble confirmación: 1ra teléfono, 2da llegada (check-in) */}
+            <div className="p-3 bg-theme-bg rounded-xl space-y-2">
+              <p className="text-xs font-medium text-theme-muted uppercase">Confirmaciones</p>
+              <div className="flex flex-wrap items-center justify-between gap-2">
+                <div className="text-sm">
+                  <p className="font-medium text-theme-heading">1ra confirmación (teléfono)</p>
+                  <p className="text-xs text-theme-muted">
+                    {detailApt.phone_confirmed
+                      ? `Confirmada${detailApt.phone_confirmed_by ? ` por ${detailApt.phone_confirmed_by}` : ''}${detailApt.phone_confirmed_at ? ` · ${detailApt.phone_confirmed_at}` : ''}`
+                      : 'Sin confirmar'}
+                  </p>
+                </div>
+                {!['cancelled', 'no_show', 'done'].includes(detailApt.state) && (
+                  <Button
+                    size="sm"
+                    variant={detailApt.phone_confirmed ? 'outline' : 'primary'}
+                    onClick={() => handlePhoneConfirm(detailApt, !detailApt.phone_confirmed)}
+                    disabled={updating === detailApt.id}
+                  >
+                    <Phone size={16} className="mr-1.5" />
+                    {detailApt.phone_confirmed ? 'Quitar confirmación' : 'Confirmar por teléfono'}
+                  </Button>
+                )}
+              </div>
+              <div className="flex flex-wrap items-center justify-between gap-2 pt-2 border-t border-theme-border">
+                <div className="text-sm">
+                  <p className="font-medium text-theme-heading">2da confirmación (llegada)</p>
+                  <p className="text-xs text-theme-muted">
+                    {['arrived', 'in_progress', 'done'].includes(detailApt.state)
+                      ? 'Paciente en clínica (check-in realizado)'
+                      : 'Pendiente de llegada'}
+                  </p>
+                </div>
+                {detailApt.state === 'confirmed' && (
+                  <Button size="sm" onClick={() => handleStatus(detailApt.id, 'arrive')} disabled={updating === detailApt.id}>
+                    <UserCheck size={16} className="mr-1.5" /> Llegó
+                  </Button>
+                )}
+              </div>
+            </div>
             <div className="flex flex-wrap gap-2 pt-2 border-t border-theme-border">
               {detailApt.state === 'pending' && (
                 <Button size="sm" onClick={() => handleStatus(detailApt.id, 'confirm')} disabled={updating === detailApt.id}>
                   <CheckCircle size={16} className="mr-1.5" /> Confirmar
                 </Button>
               )}
-              {detailApt.state === 'confirmed' && (
-                <Button size="sm" onClick={() => handleStatus(detailApt.id, 'arrive')} disabled={updating === detailApt.id}>
-                  <UserCheck size={16} className="mr-1.5" /> Llegó
-                </Button>
-              )}
               {(detailApt.state === 'confirmed' || detailApt.state === 'arrived') && (
                 <Button size="sm" variant="danger" onClick={() => handleStatus(detailApt.id, 'no_show')} disabled={updating === detailApt.id}>
                   <UserX size={16} className="mr-1.5" /> No se presentó
diff --git a/frontend/src/services/odoo.ts b/frontend/src/services/odoo.ts
index 3e2f056..27148af 100644
--- a/frontend/src/services/odoo.ts
+++ b/frontend/src/services/odoo.ts
@@ -68,6 +68,10 @@ export interface Appointment {
   notes?: string;
   package_finished?: boolean;
   package_finished_date?: string | null;
+  // 1ra confirmación (teléfono). La 2da es la llegada (state 'arrived').
+  phone_confirmed?: boolean;
+  phone_confirmed_at?: string | null;
+  phone_confirmed_by?: string | null;
 }
 
 export interface Bloqueo {
@@ -915,6 +919,11 @@ export const odooApi = {
     return data;
   },
 
+  async phoneConfirm(id: number, confirmed: boolean): Promise<{ status: string; appointment: Appointment }> {
+    const { data } = await axios.post(`${ODOO_BASE}/skeen/frontend/v1/appointments/${id}/phone_confirm`, { confirmed });
+    return data;
+  },
+
   // Chat interno entre usuarios de la plataforma
   async getChatUsers(): Promise<{ status: string; users: ChatUser[] }> {
     const { data } = await axios.post(`${ODOO_BASE}/skeen/frontend/v1/chat/users`);
diff --git a/odoo-addons/skeen_citas/models/cita.py b/odoo-addons/skeen_citas/models/cita.py
index 2594912..20d68cd 100644
--- a/odoo-addons/skeen_citas/models/cita.py
+++ b/odoo-addons/skeen_citas/models/cita.py
@@ -125,6 +125,14 @@ class SkeenCita(models.Model):
     # Recordatorio
     reminder_sent = fields.Boolean(string='Recordatorio Enviado', default=False)
     reminder_date = fields.Datetime(string='Fecha Recordatorio')
+
+    # Doble confirmación:
+    # 1ra = confirmación telefónica (recepción marca al paciente)
+    # 2da = llegada a la clínica (check-in existente, state 'arrived')
+    phone_confirmed = fields.Boolean(string='Confirmada por Teléfono', default=False, tracking=True)
+    phone_confirmed_at = fields.Datetime(string='Fecha Confirmación Tel.', readonly=True, copy=False)
+    phone_confirmed_by = fields.Char(string='Confirmada por', readonly=True, copy=False,
+                                     help='Login del usuario del frontend que confirmó por teléfono')
     
     # Pago
     payment_state = fields.Selection([
diff --git a/odoo-addons/skeen_whatsapp/controllers/frontend.py b/odoo-addons/skeen_whatsapp/controllers/frontend.py
index 98da928..faa5b94 100644
--- a/odoo-addons/skeen_whatsapp/controllers/frontend.py
+++ b/odoo-addons/skeen_whatsapp/controllers/frontend.py
@@ -351,6 +351,10 @@ class SkeenFrontendController(http.Controller):
             if kw.get('search'):
                 s = kw.get('search')
                 domain += ['|', '|', ('name', 'ilike', s), ('partner_id.name', 'ilike', s), ('servicio_id.name', 'ilike', s)]
+            # pending_confirm=1: citas activas SIN 1ra confirmación telefónica
+            if kw.get('pending_confirm') in ('1', 'true', 'True'):
+                domain.append(('phone_confirmed', '=', False))
+                domain.append(('state', 'not in', ('cancelled', 'no_show', 'done')))
             page = max(int(kw.get('page', 1) or 1), 1)
             page_size = min(max(int(kw.get('page_size', 50) or 50), 1), 200)
             Citas = request.env['skeen.cita'].sudo()
@@ -585,6 +589,39 @@ class SkeenFrontendController(http.Controller):
         except Exception as e:
             return json_response({'status': 'error', 'message': str(e)}, 500)
 
+    @http.route('/skeen/frontend/v1/appointments/<int:appointment_id>/phone_confirm', type='http', auth='none', methods=['POST', 'OPTIONS'], csrf=False)
+    @require_role('recepcion')
+    def appointment_phone_confirm(self, appointment_id, **kw):
+        """Toggle de la 1ra confirmación (telefónica) de una cita.
+
+        Body: {"confirmed": true|false}. Si no se envía, invierte el valor actual.
+        Registra quién (login del usuario frontend) y cuándo confirmó.
+        Permiso: recepción+ (mismo nivel que check-in/no-show; el rol medico
+        tiene el mismo rango y también puede confirmar).
+        """
+        try:
+            cita = request.env['skeen.cita'].sudo().browse(appointment_id)
+            if not cita.exists():
+                return json_response({'status': 'error', 'message': 'Cita no encontrada'}, 404)
+            data = _parse_json_body()
+            confirmed = bool(data.get('confirmed', not cita.phone_confirmed))
+            if confirmed:
+                cita.write({
+                    'phone_confirmed': True,
+                    'phone_confirmed_at': fields.Datetime.now(),
+                    'phone_confirmed_by': request.frontend_user.login,
+                })
+            else:
+                cita.write({
+                    'phone_confirmed': False,
+                    'phone_confirmed_at': False,
+                    'phone_confirmed_by': False,
+                })
+            return json_response({'status': 'success', 'appointment': self._appointment_to_dict(cita)})
+        except Exception as e:
+            request.env.cr.rollback()
+            return json_response({'status': 'error', 'message': str(e)}, 500)
+
     @http.route('/skeen/frontend/v1/appointments/<int:appointment_id>/package_finished', type='http', auth='none', methods=['POST', 'OPTIONS'], csrf=False)
     @require_role('recepcion')
     def appointment_package_finished(self, appointment_id, **kw):
@@ -735,6 +772,10 @@ class SkeenFrontendController(http.Controller):
             'is_first_visit': False,
             'package_finished': cita.package_finished,
             'package_finished_date': cita.package_finished_date.strftime('%Y-%m-%d %H:%M') if cita.package_finished_date else None,
+            # 1ra confirmación (teléfono). La 2da (llegada) se refleja en state.
+            'phone_confirmed': cita.phone_confirmed,
+            'phone_confirmed_at': cita.phone_confirmed_at.strftime('%Y-%m-%d %H:%M') if cita.phone_confirmed_at else None,
+            'phone_confirmed_by': cita.phone_confirmed_by or None,
         }
 
     # ============================================================