Strengthening the Health of Underserved Communities | CCI
| |
| |
Consent to Receive Text Messages from HEALTH SYSTEM
(Member’s non-Lifeline Cell Phone)
By signing below, I authorize HEALTH SYSTEM through its vendor TEXTING SERVICE to contact me by SMS text message to serve me better. HEALTH SYSTEM will send me text messages through the HEALTH SYSTEM member outreach program to help me or my child stay healthy, including:
• timely reminders about needed doctor or dental visits
• how to get help scheduling well-child visits and transportation at no cost
• tips for keeping my child or teen safe
• information to help manage illnesses
I understand that message/data rates may apply to messages sent through HEALTH SYSTEM to my cell phone and that I may receive up to 10 texts per month.
I know that I am under no obligation to authorize HEALTH SYSTEM to send me text messages as part of this program.
I may opt-out of receiving these communications from HEALTH SYSTEM at any time by calling HEALTH SYSTEM @ (123) 456-7891 or by texting 'STOP' to 12345.
Name: _______________________________________________________________
Signature: _____________________________________________________________
Date: _____/_______/_______
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- the benefits of health insurance
- health of the current us economy
- the health care industry today
- the importance of health care
- what are the health benefits of ginger
- the health care system
- happiness is the meaning and the purpose of life the whole aim and end of human
- mental health of health workers
- the health benefits of journaling
- the state of mental health in america
- what are the health benefits of banana
- the importance of health information