Electronic Signatures and Records Disclosure

 
Please read the following information to receive notices and disclosures electronically.
 
Scope of Consent
 
You agree to receive electronic notices, disclosures, and electronic signature documents with all related and identified documents and disclosures provided over the course of your relationship with the “sending party.”
 
Paper Copies
 

You are not required to receive notices or disclosures or sign documents electronically and may request paper copies of documents or disclosures if you prefer to do so.

If you wish to receive paper copies in lieu of electronic documents, you may close this web browser and request paper copies from the “sending party”

 
Withdrawal of Consent
 
You have the right to withdraw at any time the consent to the use of electronic signatures and to have records provided in electronic form by notifying “sending party”. Your withdrawal of consent will not be effective until “sending party” receives it and has had a reasonable opportunity to act upon it.
 
Automated Messages
 
As part of our services, we may send out automated messages, such as, but not limited to, reminders regarding your appointment(s) and post-op instructions, through SMS or E-mail (when provided). You agree to receive these automated messages at any time. Message frequency varies and data rates may apply depending on your mobile and/or e-mail provider plan. You can reply STOP to unsubscribe from our SMS messages or the opt-out link in our e-mail messages at any time.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Thank you
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