SMS Opt In — CMSU Behavioral Health & Developmental Services / Call 570.275.4962

SMS Opt-In Form

By completing and submitting this form, you acknowledge and consent to receiving SMS messages from CMSU Behavioral Health and Developmental Services. These messages may include important updates, appointment reminders, and other relevant information. Standard messaging and data rates may apply. Your consent is voluntary and can be withdrawn at any time by contacting us directly.

Name

First Name

Last Name

Phone

(###)

###

####

By checking this box, I agree to receive informational SMS messages about Appointment Reminders from CMSU Behavioral Health & Developmental Services. The SMS frequency may vary. Message and data rates may apply. You can opt out at any time by texting STOP. For assistance, text HELP or visit.

You can reply "STOP" at any time to opt-out. Message and data rates may apply. Message frequency may vary, text HELP for assistance. For more information, please visit our Privacy Policy and SMS Terms and Conditions.

Phone numbers collected for SMS consent will not be shared with third parties or affiliates for marketing purposes under any circumstance.