Paul Jain, MD & Associates is operated by Pinnacle Healthcare, Inc. This page publicly documents the separate written opt-in used for the Administrative Team Alerts program. This webpage does not collect or submit information. Actual consent is collected offline on the blank form shown below.

Program purpose: recurring internal, non-marketing administrative alerts for authorized workforce members, such as generic assignments, reminders, and notices directing recipients to an approved secure system. Ordinary SMS must not include patient names, clinical details, medical-record information, or other protected health information.

Voluntary participation: SMS participation is voluntary, separate, and optional. Consent is not bundled with required employment documents or general terms and is not a condition of employment, access to services or benefits, or completion of any transaction. A workforce member may decline or revoke SMS consent without penalty and will receive the same operational information through the approved secure system, email, or direct supervisor communication. Providing a mobile number alone is not consent.

☐ I voluntarily consent to receive recurring SMS administrative alerts from Paul Jain, MD & Associates at the mobile number I provide below. Message frequency varies. Message and data rates may apply. Reply STOP to opt out at any time or HELP for assistance. I understand that checking this box and signing below is optional.

Mobile number: ______________________________
Printed name: _______________________________
Signature: __________________________________
Date: ______________________________________

A signed copy is retained by Pinnacle Healthcare, Inc. Consent is program-specific and may be revoked at any time.

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