I have been a happy user of EyeMD EMR since 2011.  This is my third EHR, the best thus far, and probably the last. I have been very pleased with the customer support, in addition to the multiple features available on the system. We are a practice of 6 MDs in three locations. Image capturing and importing from the VF, OCT, angiography, and topography machines is excellent, without having to pay extra for an image/document management system. Auto generation of letters to primary docs and referring physicians is easily performed, and I can't remember the last time I even dictated a letter!  We are very pleased to having qualified for meaningful use, which paid for the software. Because of the flexibility of the system and ability to easily modify elements and plans, one is only limited by one's imagination is terms of how robust and complete the system can be.