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MOMS TREATING MOMS, LLC
 

Consent for Communication
 

Clients frequently request that we communicate with them by phone, email, text or voicemail. Moms Treating Moms, LLC respects your right to confidential communication about your protected health information as well as your right to direct how those communications occur. Since email and texting can be inherently insecure as a method of communication, we will only communicate with you by email or text with your written consent at the email address or phone number you provide us below. 
 

When you consent to communicating with us by text or email, you are consenting to communications that may not be encrypted. By signing below, you are agreeing to accept the risk that your protected health information may be intercepted by persons not authorized to receive such information when you consent to communication with us via phone, voicemail, email or text.  Moms Treating Moms, LLC will not be responsible for any privacy or security breaches that may occur through phone, voicemail, text or email that you have consented to.
 

You may choose to limit the type of communication you have with us if you wish to limit your risk of exposing your protected health information to an unauthorized person. Please indicate below what types of communication you consent to receive by phone, email or text.

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