The business location of MedFirst Primary Care Alamo Heights has a mixed reputation. While some patients have had a great experience, others have reported several issues. The staff seems to be a major problem, with several patients complaining about being unable to get appointments, not being able to contact them, and being treated rudely. The online check-in process and portal are great and easy to use, according to one patient. Dr. Aliotta and Dr. Garza are highly praised by patients for their helpfulness and kindness. However, the referral process seems to be a challenge, with one patient experiencing issues with getting approval for a referral. The clinic's communication skills are lacking, with many patients leaving messages that are not returned. Overall, the business location could improve by addressing the issues with its staff and communication systems.