I am a seasoned Symphony Web user and would like to way in my experience with the software and how we use it. We are a large volume Retina practice that covers a fairly large geographic area based in WV. Some of our locations are quite rural (read- less than optimum bandwidth AT TIMES) We image over 500 patients a week. We have been using Symphony Web on a full spectrum basis since August with 6 photographers and soon 6 doctors. And, in a single office for quite sometime before that. We have a unique server configuration due to the geographic nature of our practice. We've deployed a central database server at our main office with 4 image servers located at the most populated locations. This was done to facilitate rapid transfer speeds in moving the local images at full resolution. We use gigabit network switches; though we don't need them for this efficient application. We have approximately 80 OIS/Symphony review stations throughout the practice including each of the doctor's homes; Symphony could be added to any other PC that is web connected. On OIS Symphony Web transfer speeds between any location are very rapid. Initial login the first thing in the morning, takes less than a minute, which is very nice. Subsequent uses the wait for login/launch is negligible. The software is very easy to learn. I've found technical support to be very responsive with very few occasions for assistance. It always helps if you can call early in the morning. If not they are quite good at calling you back if they aren't available to help you immediately. I've found Symphony Web and OIS to be very adaptable (Scalable) in changing with our infrastructure as it evolves. The level of customization per user is also quite extensive. Finally, while we don't use the advanced features on every patient, these functions (that OIS has in its core WinStation software) like Montage and perfectview are available in the Symphony Web. Just displaying an image is fairly routine, but the ability to perform things like montage in the Symphony Web is for us, important. I highly recommend this software and have no financial interest in OIS. Scott Smith, CRA, Sr Photographer, IT Assistant Retina Consultants, PLLC P.O. Box 3970 Charleston, WV 25339 304-346-4400 x133 scott@xxxxxxxxxxxx