Text messages
How we record your consent
Patients sign up for our text messages in person, on paper, at the Chevy Chase counter. This page shows the form they sign.
Last reviewed: [CLIENT TO SUPPLY: review date, set on publication].
The form patients sign
The photograph of the form is not published yet
[CLIENT TO SUPPLY: a photograph or scan of a blank printed specimen of the counter opt-in form, saved as assets/sms-opt-in-form.png and placed here as an image. Blank, not a completed one — this page is public and a completed form carries a patient’s name and mobile number.]
How the form is used
A pharmacist offers the form at the counter when a patient asks to be texted about their prescriptions. The patient fills in their own mobile number, ticks the consent box themselves, and signs and dates it. The box is printed unticked; a pharmacist never ticks it on a patient’s behalf.
Signing is optional and we say so on the form. We fill a prescription the same way whether or not a patient agrees to be texted, and consent is not a condition of any purchase.
Signed forms are kept with the patient’s pharmacy record. A patient can withdraw consent by replying STOP to any message, by telling a pharmacist, or by calling (301) 690-6880.
What the form says
The form carries the same disclosures as our text message terms: who the messages come from, what they are about, how often they arrive, that message and data rates may apply, and how to stop them. Your number is handled under our privacy policy, and no mobile information is shared with third parties or affiliates for marketing or promotional purposes.