Communication Policy

Dental Office Communication Policy Form

Patient Communication Consent & Policy

Our office is committed to maintaining clear and effective communication with our patients regarding their dental care, treatment, and financial agreements. By providing your contact information, you consent to receive communications from our office through various methods, including but not limited to phone calls, emails, SMS/text messages, and mailed documents.

1. Authorized Communication Methods

By signing this form, you authorize our office to contact you via:

• Phone calls (both landline and mobile)
• Voicemail messages
• Emails
• SMS/Text messages
• Mailed documents

These communications may include, but are not limited to:

• Appointment reminders
• Treatment plan discussions
• Follow-up care instructions
• Billing and financial agreements
• General practice updates

2. SMS Communication Disclosure

If you opt to receive SMS communications, you acknowledge and agree to the following:

• Message Content: You may receive appointment reminders, treatment updates, billing notifications, and promotional messages related to our dental services.
• Message Frequency: Message frequency may vary depending on your treatment schedule and office updates.
• Message & Data Rates: Standard message and data rates may apply as per your mobile carrier’s plan.
• Privacy Policy: Your information is kept confidential and will not be shared with unauthorized third parties. Our full privacy policy is available at [insert website link].
• Opt-Out Option: You may opt out of SMS communication at any time by replying STOP to any message. To re-enroll, reply START or contact our office.

3. HIPAA Compliance Statement