Abstract: A communications apparatus has an interface unit, interface unit with at least one input/output device and a computer. The input/output device is responsive to the computer to present clinical information to a care giver and non-clinical information to a patient. At least one server operatively connected to the interface unit provides customer services to assist the care giver and patient to use the apparatus. The system automatically guides the user through the process required to accomplish the desired result. Where the user prefers, as indicated by the user's activation of a “operator assist” feature or where the system cannot resolve the user's inquiry in the absence of operator assistance, the user is connected to a live operator. Such a connection is made using voice over internet or other techniques, so that it is not necessary to provide a separate telephone connection.