Surgery South - Consent to Receive Text Messages

Surgery South - Consent to Receive Text Messages
By signing below, I authorize SurgerySouth, PC to contact me by SMS Text Message to receive up-to-date information about my health.

I understand that message/data rates may apply to messages sent by SurgerySouth, PC under my cell phone plan.
My mobile phone number is blanks*
I know that I am under no obligation to authorize SurgerySouth, PC to send me text messages. I may opt-out of receiving these communications at any time in the following ways:

1. Calling the office at 770-474-7287.

2. Responding Stop to any SMS messages from SurgerySouth, PC.

We are committed to maintaining the accuracy, confidentiality, and security of your personally identifiable information ("Personal Information"). Personal Information will be protected by security safeguards that are appropriate to the sensitivity level of the information.

We take all reasonable precautions to protect your Personal Information from any loss or unauthorized use, access or disclosure.

By signing below, I indicate I am the primary user for the mobile phone number listed above, I accept the risk explained above and consent to receive text messages from 770-474-7287 to the phone number that I have provided.
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