I am a solo pediatrician who started with nAbleMD about four and a half years ago. I have found their service, helpfulness, and skills to be outstanding. When our office started with nAbleMD in early 2007, we were minimally computerized. Dr. Durrani and Frederick Knieper have helped to get our office going with computerized appointments, insurance submission, electronic remittance of deposits, billing, computerized submission of our vaccine data into Immtrac, e-prescribing, interfaces between lab, and other aspects of EMR. Fred handles our office's phone call questions, and solves difficult problems very promptly. When I requested a change in the format of the developmental evaluation so as to make it more pediatrician-friendly and less cumbersome, Fred worked on it with me and took care of this very quickly. Other physicians have told me that that their EMR software does not let them set up interfaces, or connect to Immtrac. My colleagues tell me that they have a lot of trouble getting service, or having changes made on their system - which makes me feel very appreciative of how outstanding nAbleMD is, and how fortunate I have been in selecting them. nAbleMD has the advantage for physicians in that it is strictly for physicians, and is also small and personal. This means they have been willing and able to adapt the system for the needs of my specialty, and for my particular way of doing things as a physician. The cost is reasonable and affordable. When I considered computerizing my office/EMR back in 2006, I was concerned about the cost. I am a pediatrician faced with rising costs and low insurance reimbursements. nAbleMD has made the cost of conversion to EMR manageable. nAbleMD has not charged me additional fees for upgrades, questions, training, or setting up interfaces. I have had a much better experience than many of my colleagues who tell me that their vendors charge fees for all of these things. As a pediatrician, it is very important that my computerized data can be transmitted into the computerized vaccine registries, without having to have my staff do this additional step manually. nAbleMD did this first through the Harris county system (HHCIR), and later when the rules changed, set this up to go directly into the larger Texas vaccine registry, Immtrac. I was not charged any additional fees for doing either of these. I had talked with other vendors about providing this service, including computer based EMR company--and was told they did not have this capability. The thought of all the work of EMR conversion was daunting. The nAbleMD staff has been a tremendous help to me in getting this done. I would highly recommend nAbleMD to anyone considering EMR, and would be happy to talk directly, and answer any questions for anyone considering EMR.