Text message consent form

Practices ask each patient before texting them. Print this form for patients to fill in at check-in.

IntegraFlows

Consent to receive text messages

Practice

Patient name

Mobile number

I agree to receive text messages from IntegraFlows, for the practice named above, at the mobile number above. The texts carry secure links to my check-in forms, questionnaires and forms to sign, and no medical details. Message frequency varies, usually a few messages around each visit. Message and data rates may apply. Reply STOP to stop texts and HELP for help. Agreeing is optional and is not a condition of my care.

SMS Terms: integraflows.com/sms-terms · Privacy policy: integraflows.com/privacy

My mobile number and this consent are not shared with third parties or used for marketing.

Signature

Date

For the practice: keep this form with the patient's record. Text only patients who checked the box. IntegraFlows is a registered trade name of Allevate Health LLC.

See the SMS Terms and the Privacy policy. Questions:info@integraflows.com.

Last updated November 2, 2026.

Attenteo

A healthcare workflow platform that connects people, processes and tools inside your EHR.

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REMSFlow
MeasureFlow
OutcomeFlow
CareTaker

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SMS Consent

Get in touch

info@integraflows.com
707 State Rd, Suite 105
Princeton, NJ 08540

SPRAVATO® is a registered trademark of Johnson & Johnson. DrChrono and VitalStream are trademarks of their respective owners. IntegraFlows is an independent product and is not affiliated with or endorsed by DrChrono, Johnson & Johnson or Caretaker Medical.