Notice and customer communications - you consent to be contacted, by Eric Groeneveld DDS,P.C. or anyone calling on its behalf, for any and all purposes, at any telephone number, physical or electronic address you provide which you may be reached, including any wireless telephone number. You agree that Eric Groeneveld DDS, P.C. and its agent may contact you in anyway including calls, prerecorded, artificial voice or text messages delivered by an automatic telephone dialing system, or email messages delivered by an automatic emailing system.

Should Eric Groeneveld DDS P.C., or its agents, assign any debt collectors and its affiliates need to contact you in connection with your account, in addition to contact via email and you land line telephone, we would like to receive you permission to contact you via your cell phone using autodialing, prerecorded messages and/or text messages. Please provide your cell phone number and check boxes below: