By signing this document, you are giving Frederick County Pediatrics permission to communicate with you using automated calls, emails, and text messaging sent to your landline, mobile device, or email address. This is an explicit "opt- in" authorization to receiving these communications.
These communications may include personal health information or other private information including preventative care, test results, treatment recommendations, outstanding balances, or any other communications from the practice. Please take necessary steps to safeguard access to your communications methods.
I certify that I have read and understand this consent.