When we switched to MEDfx we moved from Televox to Talksoft(MEDfx preferred vendor) and we have been using for several months. All seems to be going well and we have gotten good response from patients. Patients get an email 3 days before an appointment, phone call 2 days prior and a text the day before. If they confirm appointment any future notification is stopped. We export file daily out of MEDfx. We will be implementing some recall phone calls encouraging patients to schedule Health Maintenance exams, etc in the near future.