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SMS Communications Opt-In

By checking this box and providing your mobile phone number, you consent to receive text messages from [Your Practice Name] at the number provided. Message and data rates may apply.

Types of messages you may receive:

• Appointment reminders
• Payment notifications
• Assignment due date reminders
• Practice updates and important notifications

Message Frequency: You may receive up to [X] messages per week, depending on your appointment schedule and active assignments.

Message and Data Rates: Standard messaging and data rates from your wireless carrier may apply.

How to Opt-Out: You can stop receiving text messages at any time by:

• Replying STOP to any text message
• Contacting our office at [phone number]
• Updating your preferences in your patient portal

Privacy: We will not share your mobile phone number with third parties for marketing purposes. Your information is protected under our Privacy Policy and HIPAA regulations.

Carrier Limitations: This service is available for most major carriers. If you experience issues receiving messages, please contact our office.

No Emergency Use: Do not use text messaging for urgent or emergency communications. For emergencies, call 911 or contact our office directly at [emergency contact].

By providing your mobile number and checking the opt-in box, you acknowledge that you have read and agree to these terms.