Client Consent for Company Text Messages (SMS Communications)

BlueSprig Pediatrics (“Company”) may use text messaging (SMS) to communicate with parents and legal guardians of our clients for center-related purposes, including but not limited to:

Appointment and schedule reminders
Center closures, weather, and safety alerts
Satisfaction surveys about your family’s experience with BlueSprig
General service and account updates

Please review the options below and select your preference. You may change your preference at any time — see the “Changing Your Preference” section.

Consent Options

OPT IN — I consent to receive text messages from BlueSprig Pediatrics at the mobile phone number provided below, including appointment reminders, center updates, and satisfaction surveys. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to opt out at any time. Consent is not a condition of receiving services.

OPT OUT — I do not consent to receive text messages from BlueSprig Pediatrics. I understand that BlueSprig will contact me by phone, email, mail, or in person instead, and that declining text messages does not affect my child's services.

This consent applies to the parent or legal guardian who signs this form and to the mobile phone number provided below. Text messages are not encrypted and may not be secure, so BlueSprig does not include protected health information, such as diagnoses or treatment details, in text messages. No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. For details, see our Privacy Policy and Mobile Terms and Conditions.

Changing Your Preference

You may change your preference at any time. To stop receiving text messages, reply STOP to any message from BlueSprig. To start receiving text messages again or to update your mobile phone number, contact your BlueSprig center or call (833) 227-0693. For help, reply HELP to any message or call (833) 227-0693. Changes take effect as soon as administratively possible.

Client Information

Name

First Last

Phone

Signature