Electronic communications may include information sent to you via e-mail or text message. Protecting your privacy is important to us. The information you provide to us will only be used in order to communicate with you. We will not send any confidential or personal information to you via email or text messages. We will never share your personal information, including your name, e-mail address(es), and/or telephone number(s) with any other companies, or with any other patient.
By placing my name and date below, I acknowledge that I have read and understand the above statement on emails and text messages. Should I have any questions, I can contact firstname.lastname@example.org at any time. I hereby give permission to send messages to me via email as means of communication. I can withdraw my consent by contacting email@example.com.