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SMS Consent

Lean Leaf, LLC Consent for SMS messaging

Last Updated: August 10, 2022

By signing below, I authorize Lean Leaf, LLC (Lean Leaf) and its affiliates to contact me by SMS text message for any needs regarding the medical service provided by them. I understand that message/data rates may apply to messages sent by Lean Leaf or its affiliates under my cell phone plan. I know that I am under no obligation to authorize Lean Leaf or its affiliates to send me text messages. I may opt-out of receiving these communications at any time by calling 405-345-1984, or by responding STOP to any text messages by Lean Leaf or it's affiliates. Please allow 2-3 business days for processing. I understand that text messaging is not a secure format of communication. There is some risk that individually identifiable health information or other sensitive or confidential information contained in such text may be misdirected, disclosed to or intercepted by unauthorized third parties. Information included in text messages may include your first name, date/time of appointments, medical consultation, name of physician, and physician phone number, or other pertinent information.

PATIENT CONSENT I have read this document carefully and understand the risks and benefits of the SMS text messaging and have had my questions regarding the procedure explained and I hereby give my informed consent to participate in SMS text messaging and communicate/receive communications under the terms described herein. By signing below I hereby state that I have read, understood, and agree to the terms of this document.

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