Althea Smart EHR includes HIPAA-compliant two-way SMS messaging with parents and guardians, a family-facing patient portal with access to immunization records and growth charts, automated appointment reminders and no-show follow-up, immunization recall campaigns, and built-in telemedicine for follow-up visits. The AI Receptionist handles scheduling 24/7, including after-hours appointment requests and sick visit triage messages, without staff involvement.