Consent to Receive Text Messages from Ashley Addiction Treatment

Opt-In to Receive Text Messages from Ashley Addiction Treatment: By checking this box and submitting this form, you agree to receive text messages from Ashley Addiction Treatment.

I consent to receiving text messages from Ashley Addiction Treatment

These messages may include information about your participation in substance use disorder treatment. Opting in to receive text messages is not required to receive treatment. Your information is protected by federal law (42 CFR Part 2) and HIPAA. We will not share information about your treatment without your written consent, except as permitted by law. Message frequency will vary. Message and data rates may apply. You can opt out at any time by replying STOP. For help, reply HELP or contact us at 866-313-6310. For more information, see our Notice of Privacy Practices. You may revoke your consent at any time.