Patient Consent for Text Communication 

Consent for Text Communication:

I hereby consent to receive text messages for the purpose of receiving healthcare-related information, including but not limited to appointment reminders, health tips, pre-operative information, and treatment follow-up on the mobile phone number provided.

Family Members or Caregivers for Text Communication (Optional):

I also consent to Orthopaedics Provider sending text messages regarding my healthcare to the family member or caregiver (just one) provided. I understand that this will involve the sharing of my health information with the named individual.

I understand that text communication is not a secure means of communication and there may be risks to my privacy. I acknowledge that while Orthopedics Provider will take reasonable steps to protect the privacy and security of text messages, complete privacy cannot be guaranteed.

By consenting to receive SMS text messages, I accept the risk associated with the potential lack of confidentiality of these messages. I agree not to hold Orthopedics Provider liable for any breach of privacy or data that occurs as a result of receiving SMS text messages.

Terms and Conditions:

1. Privacy and Confidentiality: I understand that text messages may contain sensitive information about my health. I agree to take precautions to safeguard my phone and any text messages received. This includes safeguarding the phones of any family member(s) or caregiver(s) provided who will receive messages on my behalf.
2. Opt-Out: I understand that I, or any family member/caregiver listed, may withdraw consent at any time by texting STOP.
3. Costs: I am aware that my mobile carrier, and the mobile carriers of any family member(s) or caregiver(s) listed, may charge for receiving text messages, and that I am responsible for any such costs.
4. Limitations: I acknowledge that text communication is not appropriate for all types of medical information or emergencies. In the case of an emergency, I will dial emergency services directly.
5. Accuracy of Information: I agree to provide accurate and up-to-date contact information for myself and, if applicable, for any family member(s) or caregiver(s) provided. I will promptly notify my Orthopaedics Provider of any changes to this information.

Patient Acknowledgment and Consent:

I have read and understand the above terms and conditions regarding text communication with Orthopaedics Provider. I have had the opportunity to ask questions and have received satisfactory answers. By enrolling for this service, I provide my informed consent to participate in text communication under the terms described above, including the provision to communicate with the listed family member(s) or caregiver(s) about my healthcare.