Patient Consent for Text Messaging & Privacy Policy
At 1AmazingSmile, we are committed to providing you with convenient and secure communication. This form explains how we may communicate with you by text message (SMS) and outlines your privacy rights under California and federal law.
Please read carefully and provide your consent below.
Consent to Text Messaging
By signing this form, you agree that:
1AmazingSmile may send you text messages regarding:
Appointment confirmations, reminders, and scheduling updates
Treatment follow-up and patient care instructions
Office closures, hours, and general announcements
Billing or insurance matters related to your care
Text messages are not encrypted. While we take steps to protect your privacy, there is some risk that text communications could be intercepted or accessed by unauthorized persons.
You are responsible for notifying us if your mobile number changes or if you no longer wish to receive texts.
Standard messaging rates from your carrier may apply.
You may opt out at any time by replying “STOP” to a text message from our office or by contacting us directly.
Privacy Policy (California Compliance)
1AmazingSmile complies with the California Consumer Privacy Act (CCPA) and applicable federal privacy laws, including HIPAA.
Collection & Use:
We collect your mobile phone number only for communication related to your dental care. We do not sell or share your number with third parties for marketing purposes.
Data Security:
While text messaging is convenient, it is not a fully secure form of communication. Sensitive health information will not be sent by text unless you specifically request it.
Your Rights:
You have the right to:
Know what personal information we have collected about you.
Request correction or deletion of your contact information.
Withdraw your consent to text messaging at any time.
Access & Questions:
To exercise your rights under California law or to ask questions about this policy, contact our office at:
1AmazingSmile Dental Office
(858)573-2833
info@1AmazingSmile.com
4428 Convoy Ste. Suit 230 San Diego, CA 92111
Acknowledgment & Signature
I have read and understood the information above. I consent to receive text message communications from 1AmazingSmile and acknowledge that I may revoke this consent at any time.