SMS Text Messaging Consent Form

Croft Hall Medical Practice would like to offer you the opportunity to receive text message reminders for your appointments, test results, sick notes, vaccination bookings and general advice.

Croft Hall Medical Practice adheres to current GDPR requirements when using the SMS service.

Please choose one of the following options:

I will ensure that I keep the practice informed of my up to date mobile number at all times, or if the number is no longer in my possession

Patient name

Date of birth

Mobile number

SignaturePrint your name here

Today's date

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Croft Hall Medical Practice • 19 Croft Road, Torquay, Devon, TQ2 5UA .

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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SMS Text Messaging Consent Form

Privacy Protection