Abstract: This disclosure relates to a method of monitoring patent compliance using a multiple step event acknowledgment process. a) programming a device with event times and descriptions, b) comparing the event times to a system time, c) alerting the patient when an event is to occur, d) pausing the alert, e) waiting a predetermined amount of time, f) acknowledging said alerting after said alert was paused and before the end of said predetermined amount of time. An apparatus for carrying out said method. The apparatus consisting of a portable device having a microcontroller with memory for storing said event times and descriptions. The device further including a prompting means for alerting the patient and event pause and acknowledgment functions. In an alternate embodiment, the portable device includes a microphone for allowing the patient to record verbal messages for later replay by a clinician.