COMMUNICATION CONSENT FORM

We are changing the way that we send our appointment reminders. You will no longer receive text reminders unless you have already completed and returned a copy of this opt-in consent form. To continue to receive these reminders you will need to complete the opt-in consent form below. 

Parents/Guardians can receive text message communications for children until they turn 12 years old, after which they will be switched off automatically. When the child turns 15 they will have the option to provide their own contact number for text communications. This is to protect the confidentiality of young patients.

Copies of this consent form can be found in the waiting room or you can complete the form below.

Declaration

I consent to the practice contacting me by text message for the purpose of appointment reminders and information about the surgery.
Disclaimer:

  • Reminders by text are an additional service and they may not be sent on all occasions.
  • Patients remain responsible for attending appointments or cancelling them.
  • Patients can cancel the text message facility at any time by contacting the practice.
  • It can take up to five working days for the consent to be administered on our system.
  • Text messages are generated using a secure facility however it is important to understand that they are transmitted over a public network onto a personal telephone and as such may not be secure; however the practice will not transmit any information which would enable an individual patient to be identified.
  • It remains the patients responsibility to inform Langport Surgery if their mobile is lost or stolen or if their number changes.
  • I agree to the practice storing my personal data on the secure text message software.
  • I confirm this is my own personal mobile number for my own text communications.

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