HEART MIND BODY LLC
TEXT MESSAGING POLICY

Text messaging is provided as a limited administrative convenience only and is not a clinical communication channel.

Text messaging is NOT appropriate for urgent or emergency needs.
If you are experiencing a medical or mental health emergency, you must call 911, go to the nearest emergency room, or contact the 988 Suicide & Crisis Lifeline.

Permitted Use of Text Messaging

Text messaging may ONLY be used for:

• Scheduling an appointment
• Confirming an appointment
• Rescheduling or canceling an appointment

Prohibited Use of Text Messaging

Text messaging may NOT be used for:

• Clinical questions or concerns
• Medication-related questions (including refills, side effects, or shipping issues)
• Requests for medical advice
• Updates on symptoms or treatment
• Any non-administrative communication

Billing for Non-Permitted Text Messages

Any text message that falls outside of the permitted uses listed above will be considered concierge-level communication.

• A fee of $50.00 per message will be charged to the card on file
• Alternatively, patients may elect to enter into a separate concierge agreement for expanded access

Enforcement

Repeated misuse of text messaging may result in:

• Discontinuation of text communication privileges
• Requirement to use the patient portal only
• Additional administrative or concierge fees

Patient Acknowledgment

By signing below, I acknowledge that I understand and agree to the Text Messaging Policy, including appropriate use, emergency procedures, and applicable fees.

Patient Name: ______________________________________

Patient Signature: ___________________________________

Date: _____________________________________________