$4.99 USD

Email and Text Communication Informed Consent Form

This professionally written email and text consent form outlines the risks, limitations, and expectations related to communicating protected health information (PHI) via unsecured digital platforms. Ideal for functional, aesthetic, and concierge medical providers, it addresses HIPAA concerns, employer device use, data privacy, response time disclaimers, and limits of liability. It also includes clear language on what content is appropriate for digital messages and emphasizes that email and text should not be used in emergencies.

Download now to implement a legally sound, patient-friendly digital communication policy that protects your clinic and maintains compliance.

What People Are Saying:

This consent form has helped us establish clear boundaries for text and email communication. Patients appreciate knowing what to expect, and it protects our practice from misunderstandings and HIPAA risk. It's now part of every new patient intake.

Samantha K., NP | Integrative & Concierge Practice Owner