We can send your messages to you by secure encrypted email, secure encrypted alpha-numeric pager, secure encrypted phone app capable of receiving email or a phone call—whatever you want. SMS/Texting is not available because it’s not HIPAA compliant.  Secure encrypted email can be set up to function very similarly to SMS/Texting while maintaining HIPAA compliance. Avoid unwanted interruptions from spam and erroneous emails by selecting one email provider to be used by the answering service and another for everything else.  This way you control notification settings and sounds and are able to silence all other notifications. We highly recommend Protonmail ( https://proton.me/business/healthcare ) as the secure email provider you use for answering service use.