I am currently (along with my sister the computer consultant) modifying the Access program for use with our practice. We chose the program Access because it is readily accessible, pretty user friendly. The features we are building in include diagnosis codes, rental equipment tracking, inventory tracking and ordering, patient historical records, etc. It will also do labels and can be merged with WORD for letters, etc. It is not in its final form yet but I am already testing the beta version. I have tried the Rental Manager program, etc but wanted something more specific to our practice. Let you know, if you're interested how it all comes out. Since Access is a general program, I also plan to build a library card catalog-type database for managing our large article file, video, tape and book library. This is an advantage to using a general rather than specific program that is only useful for managing Pump Rentals. Have done this previously with Q&A, but that program is not fully relational.