Since starting the secure text feature with Updox a year ago, my nurse will put in the demographic page under the yellow tab left lower corner the patients preferred method of contact--portal, text, or snail mail, so if we have a text preference, we try the secure video chat, and usually goes smoothly but if it takes more than a few minutes because of old phone or whatever reason, I just do a phone call, or if snail mail is the preferred choice, just reach out by telephone. If portal is the preferred method of contact my nurse will determine if they have a smart phone and if so try the secure video chat. I prefer the secure video chat, I like the visual aspect of this communication a lot. But I don't want to get bogged down trying to get it to work and within a minute or two it will either work or not, usually less than that.