SMS Opt-In Consent — How Patients Enroll

This page documents, publicly and verbatim, how patients give consent to receive text messages through Klydmore Health (a product of RedArk Ventures LLC). There is no website sign-up form and no keyword-based enrollment: consent is collected in person by the patient's own healthcare practice during clinical enrollment, using the consent language shown below, and is documented in the patient's chart before any message is sent.

The enrollment steps

• A clinician or authorized staff member at the patient's healthcare practice explains the messaging program to the patient during a clinical visit;
• The patient reviews and signs (on paper or electronically in the practice's records system) the consent statement reproduced below;
• The practice documents the consent in the patient's chart and registers the patient's mobile number in Klydmore;
• Messaging begins only after the consent is documented. Consent is not a condition of receiving care and may be withdrawn at any time by replying STOP or by telling the practice.

The consent form patients sign — reproduced verbatim

PATIENT CONSENT — TEXT-MESSAGE CARE PROGRAM (KLYDMORE HEALTH)

I consent to receive text messages from [Practice name], sent through Klydmore Health, at the mobile number I provide. These messages may include scheduled symptom questionnaires (such as the PHQ-9 and GAD-7), medication check-ins, reminders about those check-ins, and safety information approved by my practice.

I understand that: message frequency varies with the care plan my practice sets (typically several messages per week while a questionnaire is active); message and data rates may apply; I can reply HELP for help and STOP at any time to stop messages; consent is voluntary and not a condition of receiving care; and Klydmore is not an emergency service — in an emergency I will call 911, or call or text 988 for crisis support.

My mobile number and messaging consent will not be shared with third parties or affiliates for marketing or promotional purposes. Program terms: klydmore.com/sms-policy.html · Privacy policy: klydmore.com/privacy.html

Patient signature: ______________________    Date: ____________
Mobile number: ______________________    Practice staff initials: ________

Practices may reproduce this consent language on their own enrollment paperwork or capture it in their electronic records system; the substance of the disclosures above is required in either form.

Related policies

• SMS & Messaging Policy — program terms: message types, frequency, rates, STOP/HELP, carrier disclosures;
• Privacy Policy — how information is protected; mobile numbers and consent are never shared for marketing.