SMS Consent Process Evidence
This page documents how authorized medical staff obtain and record a patient’s affirmative verbal consent before sending non-marketing SMS messages from HCI Medical Partners.
Program overview
Patients may choose to receive operational text messages related to their relationship with the medical practice. Consent is optional and is not a condition of receiving medical care or services.
Messaging organization
- Patient-facing sender: HCI Medical Partners
- Legal entity / A2P brand: HCI Medical LLC
- Technology provider, if applicable: TK SOFTWARE / ICONIC PRO MEDICAL BILLING
Message categories
- Appointment reminders
- Scheduling and rescheduling updates
- Billing notifications
- Account-related notices
Marketing or promotional messages are not sent.
How verbal consent is obtained
Only authorized staff members may record consent. Staff cannot consent on a patient’s behalf.
- The staff member confirms the patient’s mobile telephone number.
- The staff member reads the complete SMS disclosure shown below, without omitting the message categories, frequency, rate disclosure, STOP instructions, HELP instructions, or the voluntary-consent statement.
- The patient is asked directly whether they agree to receive the described text messages.
- Staff records consent only after receiving an affirmative response such as “yes.” Silence, a preexisting telephone number, or failure to object is not treated as consent.
- The application stores the consent status, telephone number, date and time, staff user, consent method, and disclosure version.
- A patient may revoke consent at any time by replying STOP or by contacting the medical practice.
Exact verbal consent script
Authorized staff members read the following disclosure to the patient in person or by telephone.
Would you like to receive recurring text messages from HCI Medical Partners at the mobile number you provided?
Messages may include appointment reminders, scheduling updates, billing notifications, and account-related notices. Message frequency varies. Message and data rates may apply. You can reply STOP at any time to unsubscribe or HELP for assistance. Consent to receive text messages is not a condition of receiving medical care or services.
Our SMS Terms and Conditions and Privacy Policy are available at tksoftwareinc.com/text-messaging-terms-and-conditions and tksoftwareinc.com/privacy-policy.
Do you agree to receive these text messages?
Staff records “Patient verbally agreed” only after the patient gives an affirmative response. The form is not preselected and does not default to consent.
Sanitized representation of the internal consent screen
The actual application is restricted to authorized medical staff. This public representation shows the disclosure and controls used without exposing patient information or protected health information.
Internal Medical Practice Application — SMS Consent
Patient SMS Consent
Mobile number: (317) 123-4567 — sample only
Disclosure to be read aloud to the patient
The patient is offered recurring SMS messages from HCI Medical Partners, including appointment reminders, scheduling updates, billing notifications, and account-related notices.
Message frequency varies. Message and data rates may apply. Reply STOP to unsubscribe or HELP for assistance. Consent is not a condition of receiving medical care or services.
SMS Terms: tksoftwareinc.com/text-messaging-terms-and-conditions
Privacy Policy: tksoftwareinc.com/privacy-policy
Patient response — no option is preselected
- Patient verbally agreed
- Patient declined
- Patient revoked prior consent
I certify that I read the complete SMS disclosure to the patient and selected “Patient verbally agreed” only after the patient affirmatively consented to receive SMS messages at the mobile number shown above.
- Consent method: In person or telephone
- Date and time: Recorded automatically
- Authorized staff user: Recorded automatically
- Disclosure version: Recorded with consent
Consent recordkeeping
The system maintains an auditable record of the patient’s SMS consent status.
Recorded when consent is obtained
- Patient mobile telephone number
- Consent status
- Date and time of consent
- Consent method: in person or telephone
- Authorized staff user who recorded consent
- Version of the disclosure presented
Revocation and suppression
- STOP requests are honored
- Patients may revoke consent through staff
- Revocation date and time are recorded
- Messages are suppressed after revocation
- Consent is not inferred from prior treatment or registration
Sample messages
Initial confirmation message
HCI Medical Partners: You are enrolled to receive appointment reminders, scheduling updates, billing notifications, and account-related notices. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to unsubscribe.
Appointment reminder example
HCI Medical Partners: This is a reminder about your upcoming appointment. Please contact our office if you need assistance. Reply STOP to unsubscribe.
HELP response example
HCI Medical Partners: For help, contact 317-228-0857. Message and data rates may apply. Reply STOP to unsubscribe.
STOP confirmation example
HCI Medical Partners: You have been unsubscribed and will receive no further text messages. Reply START to resubscribe.
Keyword opt-in: Patients do not enroll by texting a keyword. The campaign uses staff-assisted verbal consent. STOP and HELP remain available for opt-out and assistance.
Public policies and contact information
The following public resources provide additional information about the messaging program: Privacy Policy and SMS Terms and Conditions.
Messaging support
- Organization: HCI Medical Partners
- Telephone: 317-228-0857
- Email: info@tksoftwareinc.com
Reviewer contact
- Campaign contact: Wayne Grubbs
- Email: info@tksoftwareinc.com
SMS Consent Process Evidence for HCI Medical Partners. Last updated: 06/22/2026.
This public page contains no patient information or protected health information.