SMS & EMAIL MARKETING OPT-IN
Consent to Receive Communications
By providing your mobile number and/or email address, you consent to receive appointment reminders, follow-ups, and promotional communications from Revive Active and Aesthetic PLLC.
Promotional communications may include special offers, service updates, and event invitations.
You may opt out at any time by:
- Replying “STOP” to any SMS message
- Clicking “Unsubscribe” at the bottom of promotional emails
[ ] I agree to receive promotional emails and SMS from Revive Active and Aesthetic PLLC. I understand I can opt out at any time.
COOKIE CONSENT BANNER TEXT
Website Banner (Displayed on First Visit):
We use cookies to enhance your experience, analyze site traffic, and serve personalized content and ads. By clicking “Accept All,” you consent to our use of cookies in accordance with our [Cookie Policy].
You can manage your cookie preferences at any time.
Buttons:
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Make sure to link your full Cookie Policy and ensure user preferences are respected.
HIPAA NOTICE ACKNOWLEDGMENT CLAUSE
For Intake Forms or Online Registration:
By signing or submitting this form, I acknowledge that I have received and reviewed the Notice of Privacy Practices for Revive Active and Aesthetic PLLC, which outlines how my protected health information (PHI) may be used or disclosed and describes my rights under HIPAA.
[ ] I have received and reviewed the HIPAA Notice of Privacy Practices.
