eMail goes to the SPAM folder 

It is Frustrating ! 

Text Messages get Opened

But using text messages presents a problem for most medical providers that have to be HIPAA compliant. They need a Business Associate Agreement with the text messaging  company. That is available - but it costs $500- $15,000 per month. Many Marketing Companies offer texting services and don't tell their medical clients that their SMS solution is not compliant. We have a solution that is $47/month.