Outside the Wall Counseling Services LLC

Outside the Wall Counseling Services LLC

Mobile Privacy Policy and Customer Consent Form

We may use SMS text messaging for certain types of communication with you, including billing, customer service, appointment reminders and other administrative requests.

Please initial each section for your consent.

_____ Providing us your mobile phone number is optional. It will not affect our services to you.

_____ You agree to receive SMS text messages from us, related to services that we are providing to you. Messaging frequency may vary. Message & data rates may apply.

_____ You understand that you can text us STOP at any time to opt out of receiving SMS text messages from us. You can text us HELP at any time to receive help regarding texting.

_____ Your mobile information will not be shared with any third parties/affiliates for marketing/promotional purposes. All policies are followed as per CTIA guidelines 5.2.1. At any time if you want your information to be removed, you can contact us via our email address or regular mail.

You can contact us for any privacy related queries via our email address or regular mail.

Our email address:
carlperryjr@outsidethewall.org

Our address:
245 Wessington Avenue
Garfield, NJ 07026
US

Client full name: _______________

Client mobile #: _______________

Client signature: _______________

Date: _______________