SMS Consent Form | Building Health Communities Together

THCC Housing Text Message (SMS) Consent

Tulong Healthy Communities Corporation (THCC) collects text message consent in writing at intake, using the optional SMS consent section of the THCC Housing intake packet shown below. Signed forms are kept in each participant's file.

TEXT MESSAGE (SMS) CONSENT - OPTIONAL

[ ] Yes, I agree to receive text messages from Tulong Healthy Communities Corporation (THCC Housing and Sober Charities) at the mobile number below, including house reminders and program updates. Consent is optional and is NOT a condition of housing or services. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for help, or call (209) 200-4144. THCC will not send sensitive health or treatment information by text.

Resident name (print): ______________ Mobile number: ______________ Signature: ______________ Date: __________

WEBSITE OPT-IN: Visitors to thcchousing.org (THCC Housing) and sobercharities.org (Sober Charities, a program of THCC) may also opt in by checking the optional, unchecked "Text message consent" box on the website contact forms. The box names the program, the message types, that message frequency varies and message and data rates may apply, and how to reply STOP or HELP. Texts from THCC Housing and Sober Charities are sent from the same THCC phone number.

No mobile information will be shared with third parties or affiliates for marketing or promotional purposes. Text messaging originator opt-in data and consent will not be shared with any third parties. Questions: office@tulongnow.org

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Mailing and Contact info

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office@tulongnow.org Ph: 209-200-4144

6333 Pacific Ave #555 Stockton CA 95207

OFFICE Location

1145 N. California St. 206 Stockton CA 95202