Rarely. I've called my pdoc probably 6 times in 8 years and my T twice. Both calls were very brief as well and weren't for support so much as specific questions. Calls are always brief (less than 10 minutes). More can turn into a session clients can be charged. I don't have either' cell number so there is no texting or calling in off hours.

I've emailed a few times but again for specific questions, not for support or anything like that.