Consent for Email and Text
Name
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I consent to email messages from the team at NW Myofunctional Therapy.
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Yes
I consent to text messages from the team at NW Myofunctional Therapy.
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Yes
I consent for Telehealth Video Conferencing with the team at NW Myofunctional Therapy.
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Yes
As part of telehealth treatment, I consent to having my comprehensive evaluation recorded for internal purposes at NW Myofunctional Therapy. Recordings are only viewed by the other therapists at NW Myofunctional Therapy. that you will be working with for your treatment. They will not be used for marketing or education unless approved by the patient.
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Yes
By checking this box, I am consenting to information above.
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I consent to sharing information provided here.
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