PURPOSE: This form is used to obtain your consent to communicate with you by mobile text messaging regarding your Protected Health Information. Joseph Dental Associates, offers patients the opportunity to communicate by mobile text messaging. Transmitting patient information by mobile text messaging has a number of risks that patients should consider before granting consent to use mobile text messaging for these purposes. Joseph Dental Associates will use reasonable means to protect the security and confidentiality of mobile text messaging information sent and received. However, Joseph Dental Associates cannot guarantee the security and confidentiality of mobile text messaging communication and will not be liable for inadvertent disclosure of confidential information.

By submitting this form and signing up for texts, you consent to receive informational text messages (e.g. appointment reminders) from Joseph Dental Associates at the number provided, including messages sent by autodialer. Consent is not a condition of being a patient. Msg & data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP or clicking the unsubscribe link (where available). Reply HELP for help. Privacy Policy [https://www.josephdentistry.com/new-page] & Terms [https://www.josephdentistry.com/new-page].

I acknowledge that I have read and fully understand this consent form. I understand the risks associated with the communication of mobile text messaging between Joseph Dental Associates and myself, and consent to the conditions outlined herein. Any questions I may have, been answered by Joseph Dental Associates.