NordSync Staff SMS Alerts Consent Form
Program: NordSync staff SMS alerts, operated by NORDQUIST FAMILY MEDICAL CENTER, M. D. P.A., 2470 E Hwy 50, Suite A, Clermont, FL. Phone 352-404-9940. Email [email protected].
- Who receives texts: employees and staff of NORDQUIST FAMILY MEDICAL CENTER, M. D. P.A. only, never patients. Texts contain no patient health information.
- Message types: system status alerts and clinical on-call escalation pages.
- Message frequency varies. Message and data rates may apply.
- Reply STOP to opt out at any time. Reply HELP for help, or contact 352-404-9940 / [email protected].
- Consent is not a condition of employment.
- Mobile numbers are not sold or shared with third parties or affiliates for marketing purposes. See our Privacy Policy and Terms.
Employee name:
Mobile number:
I agree to receive NordSync staff SMS alerts at the number above.
Signature:Date:
Signed forms are kept on file by the practice.
