TEXT MESSAGE (SMS) CONSENT FORM

---

I understand that text messaging is not a secure format of communication. There is some risk that individually identifiable health information or other sensitive or confidential information contained in such text may be misdirected, disclosed to or intercepted by unauthorized third parties. Information included in text messages may include your first name, date/time of appointments, or other pertinent information. I consent to NewAir Home Care, Inc. contacting me via text message for the purpose of appointment information and supply reminders. I understand I can withdraw my consent at any time by replying STOP to a message or by informing NewAir Home Care staff.