Nothing so far, we've only been using it to process new patient forms that are created through our practice management system (we use Practice Fusion). It's not bad in itself but I'd like something more robust if possible since there may be times when you want extra flexibility with your workflow or reports etc - perhaps this product doesn't have those capabilities? Perhaps better reporting would help too! Easy form creation & submission via an internet browser makes data entry faster than any other way i know of as well.