 There is conflicting data of whether a personal call by a clinical staff member or an automatically generated calltext message have greater efficacy of reducing missed appointments, however, both types of reminders were well-received and did not cause any patient disturbance and automated calls are pose less burden on already-strained health resources. Although specialized electronic reminder applications via smartphone and tablet devices exist today, both the devices and the skills required to navigate them may be not consistent with the older, chronic disease populations, such as dialysis, congestive heart failure, or COPD. The investigators thereby hypothesize that the simpler Epharmix EPX system, which uses the more simple platforms of SMS and phone calls to do automated specialized reminders to be able to reach many of the same benefits of the above electronic systems, at only a fraction of the cost. Besides the purpose of providing timely reminders, the same platform is easily adapted for educational engagement and other clinical goals. In the outpatient epilepsy population, SMS-based interventions were shown to be feasible and effective at improving patient education and perceptions. 