SMS Messaging Consent

By providing your phone number to your healthcare provider, you consent to receiving appointment-related SMS messages from VisitConfirmed on behalf of your provider.

Messages may include:

Appointment confirmations
Appointment reminders
Scheduling updates

Message frequency varies based on your appointments. Message and data rates may apply.

Reply STOP at any time to opt out of messages. Reply HELP for help. For support, contact support@visitconfirmed.com.

By opting in, you agree to our Privacy Policy and Terms of Service.

Example: Patient Intake Form

Patient Name

Date of Birth

Phone Number

I agree to receive appointment-related SMS messages from my healthcare provider via VisitConfirmed. Message frequency varies based on appointments. Msg & data rates may apply. Reply STOP to cancel, HELP for help.

View our Privacy Policy and Terms of Service