I have been looking for alternatives but just have not been able to find one that I thought would be "the one". I have used Practice Fusion, Athena. Epic is out of reach as they do not cater for a small practice. Have watched demos for several other programs such as Praxis, Hippocrate, Quest Quanum, Office Ally and still undecided. I know eventually I have to make the decision and the move that requires courage. Any suggestions?