• Communication Preferences Consent Form

    Communication Preferences Consent Form

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  • To provide you with timely and relevant information, Riverwood Healthcare Center may contact you by telephone at any telephone number associated with your account, including mobile telephone numbers. We may also contact you by sending text messages or emails, using non-work email address you provide to us. Methods of contact may include pre-recorded voice messages and/or use of an automatic dialing device, as applicable. The types of messages we may communicate with you using the above methods could include:

    · Appointment reminders

    · Prescription notifications

    · Pre-registration instructions

    · Post-hospital/care instructions

    · Billing and payment follow-up (including third-party collections)

    · General health reminders/information

    ·  Obtain feedback on your experience

    By signing below, I attest that I understand and accept each of the following: 

    Costs. Standard text message and minute usage rates from my mobile or internet service provider may apply.

    Privacy and Security. Receiving voice, email, and text messages from Riverwood Healthcare Center may impact the privacy and security of protected health information (PHI). Voice, email, and text messages are not encrypted. Information in voice, email, or text messages may not be secure.

    Revocation. This consent to receive text messages or pre-recorded voice messages and/or use of an automatic dialing device on my mobile phone will be in effect until I have notified Riverwood Healthcare Center that I have revoked my consent by contacting (218)927-2157, or any other reasonable means of notifying Riverwood Healthcare Center that I revoke my consent.

    Number Change. I will let Riverwood Healthcare Center know if my mobile phone number changes.

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