AUUA SMS Consent Form

First Name: 

Last Name: 

Email: 

Phone: 

I agree to receive SMS messages from Academic Urology & Urogynecology of Arizona.

By checking this box, you consent to receive SMS messages from Academic Urology & Urogynecology of Arizona for appointment reminders and updates—no clinical or health-related information will be sent directly through SMS. Message frequency varies but will not exceed 3–5 messages per day unless a notification event occurs. Message and data rates may apply. Reply HELP for help. Reply STOP to opt out. Your mobile information will not be shared with third parties or affiliates for marketing or promotional purposes.