The only thing that I can do is call and leave a voice mail in an emergency. She does not email and has never offered her cell number for texting. I left her a message one time that I really needed to talk to her and she called me back in just an hour or two. We spoke briefly and agreed to talk about everything at my next appointment. While I'm jealous of those who can email and text their Ts I felt very fortunate when I really needed to hear from her that she called me back so quickly.