Engage add-on and PQ both need to be able to schedule SMS sends by the minute, not restricted by the hour and the day, where currently the last SMS notification that can be sent out is 1 hour before the appointment. Telehealth needs by the minute. We need the appointment reminder to be able to send out SMS (multiple times, limited to 2 SMS in PQ itself) and emails by the MINUTE, not just days and hours. We must be able to remind patients in the last hour leading up to their telehealth appointments. To reduce no-shows and make sure they have the Telehealth link quickly accessible at the top of their SMS. In addition, having more SMS capabilities in PQ itself