We used to have a staff member call 1 day before. For the past 2 years, we've been sending a text 2 days before. Patients can reply yes to the text to confirm. For those that don't reply to the texts, a staff member will call them 1 day before the appointment. If staff leaves a message, I go back and send another text to the patient. A lot of times, they don't call back after a voicemail but will text back to confirm. Texting is the way to go.