SMS Consent Form

MedTrue Care services offers appointment services, reminders, general business communications, and feedback by text message. If you wish to receive those messages, we require your consent. Please complete this form and provide your consent by checking the box below after carefully reviewing the terms and conditions.

Name

Please enter your name.

Phone Number

Please enter a valid phone number.

Address

Please enter your address.

City

Please enter your city.

State/Province

Please enter your state/province.

ZIP/Postal Code

Please enter your ZIP/postal code.

I agree to receive automated text messages at the phone number above in the context of the client/care relationship. I understand that by checking the box:

You must provide consent to proceed.

I agree to receive text messages.
I can Reply STOP to opt-out.
I can Reply HELP for support.
Message and data rates may apply.
My consent is not required to purchase goods or services.
Message frequency varies.

Your information will be used only for the purposes described above.