I understand the privacy risks associated with communications via SMS. I hereby authorize
Cortex TBI PLLC and its affiliates to contact me via SMS regarding my healthcare. This may
include appointment reminders, referral coordination, and other healthcare-related
communications.
I understand that I may revoke this authorization at any time by providing written notice to
support@cortextbi.com.
SMS Communication Consent (Optional)
By providing my phone number and opting in below, I agree to receive SMS (text messages)
from Cortex TBI PLLC for purposes including:
Appointment reminders
Customer care communications
Service-related notifications
Message Frequency: Message frequency may vary
Message & Data Rates: Message and data rates may apply
SMS consent is not required to receive services. Your phone number and SMS consent will not
be shared, sold, or disclosed to third parties for marketing purposes.