SMS Consent form – Teign Estuary Medical Group

Use this page to give your consent or decline the use of text messaging from the Surgery to contact you.

Full name*
Date of birth*
MM slash DD slash YYYY

For patients aged 16 and over only
Address*
Mobile number*
Confirm consent*
- Yes I consent
- No do not send me any text messages
I hereby give my consent for the practice to send Text Message reminders to my mobile telephone. These messages may be reminders of appointments or a request to book a specific review appointment. If I change my contact details I am aware that I should inform the surgery immediately. Failure to do so could result in my sensitive information being forwarded to the incorrect recipient.
All patients have the right to change their minds and have this service stopped. If you no longer wish to receive these text messages please notify the practice.
PLEASE NOTE WE CANNOT ACCEPT INCOMING TEXT MESSAGES - IF YOU WISH TO CANCEL AN APPOINTMENT PLEASE TELEPHONE THE SURGERY.