HT206983: About SOS on Apple Watch
Learn about About SOS on Apple Watch
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Helpful answers
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Sep 14, 2016 11:22 AM in response to sydgurleyby ChrisJ4203,Reading the very beginning of the support document that you linked her from, it says it is a call, and that the phone needs to be nearby, or setup with wi-fi calling and on a known network.
Your 3 Contacts that are contacted after the initial SOS call are texted.
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Sep 14, 2016 11:26 AM in response to sydgurleyby Jonathan UK,Hi
The call to emergency service is a phone call, which requires either a connection to cellular service via your iPhone or Wi-Fi calling (which requires carrier support and access to a trusted / known Wi-Fi network).
The message to nominated SOS contacts is a text message.
More information: