Optional separate opt-in. This form is not required to contact the office, schedule an appointment, purchase products, or receive treatment, service, or care.
No enrollment elsewhere. The patient service form, appointment scheduling, booking links, phone calls, and office conversations do not enroll you in SMS/MMS messages.
Consent action. To opt in to SMS/MMS, enter your name and mobile phone number, voluntarily check the optional SMS/MMS box below, and submit this form. If you submit the form without checking the box, no SMS/MMS opt-in is recorded.
Appointments, patient service requests, product purchases, treatment, service, and care are
available without this optional messaging consent form.