Could you please add the following to our being developed website
Privacy & SMS Communications Notice
Information submitted through this website is transmitted via standard email and is not sent through a secure messaging system. Please do not submit private health information (PHI) through website forms.
By opting in, you consent to receive SMS text messages from M D Aesthetics and Dermatology PLLC related to appointments, care, and practice communications. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out or HELP for assistance. Your mobile information will not be shared with third parties.
For details on how we protect and use your health information, please review our Notice of Privacy Practices (HIPAA), available upon request or at our office.
Electronic Communications & Privacy Disclaimer
Information submitted through this form will be forwarded to M D Aesthetics and Dermatology PLLC via email and is not transmitted through a secure or encrypted system.
This form must not be used to submit private health information (PHI), sensitive medical details, or urgent clinical concerns.
By submitting this form, you acknowledge and accept the risks associated with electronic communications and agree that the practice disclaims all warranties regarding the privacy and confidentiality of information transmitted through this method.
SMS Consent & Authorization
☐ I consent to receive SMS (text) messages from M D Aesthetics and Dermatology PLLC
By checking this box, you authorize M D Aesthetics and Dermatology PLLC to send you text messages related to your care, including appointment reminders, scheduling updates, and practice communications.
- Message frequency may vary
- Message and data rates may apply
- Reply STOP at any time to opt out
- Reply HELP for assistance
- Consent is not required as a condition of receiving medical care
Your mobile phone number and SMS consent information will not be sold, shared, or disclosed to third parties and will be used solely for communications related to your care.