You must ensure that your standard organizational agreements, such as your new-patient agreement, include terms
for SMS opt-in. Please ensure that your process is substantially similar to these model SMS opt-in terms,
adapted as necessary. The model terms are not legal advice and are provided for general guidance only.
If your process is substantially different or you don't agree with the following guidance, select the custom
option for your opt-in process.
Details of How My Organization (Brightness Solution Health, LLC) Obtains SMS Opt-In
My SMS platform provider, Spruce Health, specializes in powering medical communications across many channels,
including SMS text messaging, which is used by many healthcare practices to communicate with patients and others
outside of the practice.
Please note that I, from time to time, make use of agreements that are not available on any public website, such
as agreements on paper forms or agreements that are accessible only via private online forms. So while I am
faithfully and consistently gathering SMS opt-ins via specific contractual language, as described below, this
language is not necessarily present on any publicly available website.
Paper SMS Consent Form
I use the following paper form in my standard agreement paperwork in order to collect opt-in consent for SMS
texting. When an end user visits Brightness Solution Health, LLC, they are presented with the following paper form, or a
substantially similar form, to fill out and complete to obtain SMS opt-in consent.
Brightness Solution Health, LLC SMS Consent Form
Consent to Receive SMS Text Messages
I consent to receive SMS text message communications from Brightness Solution Health, LLC, using Spruce Health
as
its SMS text messaging service provider, at the mobile phone number I provide. These communications
may include appointment reminders, appointment changes or cancellations, account or care-related
notifications, or administrative messages related to the services provided to me. I understand that
providing consent to receive text messages is not a condition of receiving care or services.
Text Message Details
I understand that message frequency may vary and that standard message and data rates may apply
based
on my mobile carrier and plan. SMS messages are used for scheduling, administrative activities, and
care-related communications. SMS opt-in and consent data will not be shared with any third parties.
Opt-Out and Help
I understand that I may revoke my consent at any time by texting "STOP" to (410) 936-5532.
After opting out, I will receive a confirmation message confirming that I have been unsubscribed.
For assistance, I may text "HELP" or contact Brightness Solution Health, LLC at (410) 936-5532.
Text Message Origin
I understand that SMS text messages from Brightness Solution Health, LLC may originate from the following
organizational phone numbers:
Additional Information
More information about Brightness Solution Health, LLC's SMS communications and privacy practices is available
at:
Consent Acknowledgment
Please indicate your choice below:
- ☐ Yes, I consent to receive SMS text messages from Brightness Solution Health, LLC
- ☐ No, I do not consent to receive SMS text messages from Brightness Solution Health, LLC
Mobile Phone Number for Text Messages
Please provide the mobile phone number where you would like to receive SMS text message
communications
from Brightness Solution Health, LLC.
Mobile Phone Number: _______________________________
By providing this mobile phone number, I confirm that I am the authorized user of this number and
that I consent to receive SMS text messages at this number as described above.
Signature: _______________________________
Printed Name:_______________________________
Date: _______________________________
|
Verbal Consent
SMS opt-in consent may also be obtained verbally during an appointment with an end user. In the case of verbal
opt-in, Brightness Solution Health, LLC uses a script substantially similar to the following:
Brightness Solution Health, LLC Staff:
"For your convenience, Brightness Solution Health, LLC, using Spruce Health as its SMS text messaging service provider, can
send you text message updates related to your care, such as appointment reminders, scheduling updates, and other
administrative or care-related messages. Message frequency may vary, and standard message and data rates may
apply based on your mobile plan.
You can opt out at any time by replying STOP, or get help by replying HELP. Additional details are available in
our
SMS Terms of Service and
SMS Privacy Policy, which we will provide
to you.
Would you like to receive these text messages? Please say yes or no."
[End User]:
"Yes."
Brightness Solution Health, LLC Staff:
"Thank you. What is the mobile phone number you would like us to use for text messages?"
[End User]:
"[Provides mobile number]"
Brightness Solution Health, LLC Staff:
"Great. We will send you a text message to confirm your enrollment shortly."
Brightness Solution Health, LLC SMS Privacy Policy & Terms of Service
My SMS platform provider, Spruce Health, supplied me with model verbiage to use in conjunction with my standard
agreement paperwork in order to collect opt-in consent for SMS texting which can be reviewed below in the
"SMS Text Messaging Terms of Service" and "SMS Text Messaging Privacy Policy."
When I submitted my registration, I indicated that I had incorporated that language, or substantially similar
language, into my standard agreements; therefore, the SMS platform provider has submitted this attestation,
on my behalf:
Our standard terms of service and privacy policy describe our SMS text messaging program. Users receive SMS
messages only after providing separate, affirmative consent to opt in, as described in "Details of How My
Organization (Brightness Solution Health, LLC) Obtains SMS Opt-In."
Please note that I, from time to time, make use of agreements that are not available on any public website, such
as agreements on paper forms or agreements that are accessible only via private online forms. So while I am
faithfully and consistently gathering SMS opt-ins via specific contractual language, as described below, this
language is not necessarily present on any publicly available website.
SMS Text Messaging Terms of Service
"Brightness Solution Health, LLC" SMS Text Messaging Terms of Service
These SMS Text Messaging Terms of Service (these "SMS Terms") are incorporated into all agreements between you
and "Brightness Solution Health, LLC" ("our organization", "us", "we"), including any agreements that are preexisting and
any agreements that might be enacted contemporaneously with these SMS Terms.
"Brightness Solution Health, LLC" might use SMS text messaging, from time to time, for certain types of communication with
you, including potentially for administrative issues, such as billing, or for health-related issues, such as
care reminders.
By opting in, you agree to receive SMS text messages from "Brightness Solution Health, LLC" related to services that we are
providing to you. Message and data rates may apply, and message frequency varies. You may text us STOP at any
time to opt out of receiving SMS text messages from us. You may text us HELP at any time to receive help.
Carriers are not liable for any delayed or undelivered messages.
Our SMS Text Messaging Privacy Policy can be reviewed here:
/terms-and-privacy-policy/8b0ea5c2df3b87ee61cc44648b32bed17d6868e29a2693ce3e7e3c760d7e0b40
#sms-privacy-policy
SMS text messages from "Brightness Solution Health, LLC" may originate from our organizational phone numbers, including:
SMS Text Messaging Privacy Policy
We respect your privacy and are committed to protecting your personal information. Any information collected as
part of our SMS or text messaging program, including mobile phone numbers, messaging consent, and opt-in data,
is used solely for the purpose of providing the messaging services you have opted-in to receive.
No mobile opt-in data or text messaging consent information will be shared, sold, rented, or disclosed to any
third parties, except as required to deliver the messaging service or to comply with applicable laws.