is posible send sms programatically

I development a medical app, this connect with a BLE, and the user suffers an accident such as a fall, BLE send a notification to user app and app should send a sms an emergency contact

I see in the apple documentation it is not possible to do it, but the app requires it

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No it is not, hopefully, to avoid flows of spam !

Read the TN: https://developer.apple.com/library/archive/qa/qa1944/_index.html#//apple_ref/doc/uid/DTS40017631

You have to confirm manually to send the sms.

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Claude31
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