The system extracts upcoming appointments from the EMR and sends families assessment forms well in advance, followed by a sequence of automated reminders via email, SMS, and phone. If no response is received, the system escalates with additional reminders and can reschedule or cancel appointments if necessary. Families are notified at each step, including final pre-visit SMS and voice reminders, ensuring high attendance rates and completed pre-visit forms. By reducing missed appointments and administrative burden, this solution enhances clinic productivity and ensures a smoother care journey for patients and families.