Communication Consent

Name *

First Name

Last Name

Phone

(###)

###

####

Text Communication Opt In

Do you agree to receive text messages from Mitchell Family Acupuncture / Kaneko Jones Acupuncture PC sent from 510-558-0117? Message frequency varies and may include appointment scheduling, confirmations, reminders, support, feedback requests, and technical issue resolutions. Message and data rates may apply. You can opt out at any time by replying STOP or UNSUBSCRIBE. For assistance, reply with HELP or contact our support team at mitchellfamilyacupuncture@gmail.com.

Yes, I agree to receive text messages from Mitchell Family Acupuncture / Kaneko Jones Acupuncture PC sent from 510-558-0117

No, I do not want to receive text messages from Mitchell Family Acupuncture / Kaneko Jones Acupuncture PC.