SMS Consent & Communication Authorization
By providing your mobile phone number and opting in, you expressly consent to receive text messages (SMS/MMS) from The Eye Associates of Michigan regarding: Appointment Reminders, Account Notifications, Billing Alerts, Service Updates. Message frequency may vary. Message and data rates may apply. You may opt out of receiving text messages at any time by replying STOP to any message. For assistance, contact us at 810-777-8326 or email us at team@myeyeteam.com. Please review and provide your consent by checking the box to proceed. Consent to receive text messages is not a condition of purchase or service. We will not share or sell your mobile information to third parties for marketing purposes. Your information will be used in accordance with our Cyber Privacy Policy
Full Name
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First Name
Last Name
Mobile Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Consent to Receive SMS Messages
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I agree to receive text/SMS messages from The Eye Associates of Michigan at the phone number provided above. I understand that my information will be handled in accordance with HIPAA regulations and that message and data rates may apply. I understan I can opt out at any time by replying STOP.
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