Dear Patient,

It is our wish to use methods of communication that are easy and convenient for you in order to discuss your appointments and related needs. You may also use texting or email to initiate communication to us. However please read the section in the Appointment Cancellation Policy regarding the restrictions on electronic communication for appointment cancellations.

Also, please be aware that there is some level of risk that third parties might be able to read SMS or email messages and use information contained within maliciously.

SMS/Text Messaging

I agree that Studio Dental Arts may communicate with me electronically at the SMS number provided. The communication must be very brief and must not include protected health information. Information I may receive should be limited to my appointments only.

I am aware that there is some level of risk that third parties might be able to read SMS messages. I am responsible for providing the office any updates to my SMS telephone number and can withdraw my consent to this form of electronic communication by calling or writing to the office.

Email

I agree that Studio Dental Arts may communicate with me electronically using my provided email address.

I am aware that there is some level of risk that third parties might be able to read unencrypted emails. I am responsible for providing the office any updates to my email address and can withdraw my consent to this form of electronic communication by calling or writing to the office.

Please initial & sign the Patient Information form to acknowledge and agree to these policies.