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SMS Text Messaging Consent Policy Last Updated: 11/20/2025 Houston Clinic for Lungevity (“we,” “our,” or “the Clinic”) offers SMS text messaging as a convenient way to communicate important administrative and scheduling information to our patients. This policy explains how you may opt in, opt out, what types of messages you may receive, how often we message you, and how we protect your privacy. Use of our SMS program is voluntary, and you may withdraw your consent at any time. 1. How You Opt In You may voluntarily opt in to receive text messages in any of the following ways: 1.1 Paper Intake Forms You may authorize SMS messages by checking the consent box and providing your mobile number on your new patient paperwork. 1.2 Online Forms / Patient Portal Registration You may grant consent electronically when completing digital intake forms or online appointment requests. 1.3 Electronic Check-In (In-Office or Online) During electronic check-in, you may confirm or update your preference to receive SMS reminders. 1.4 Appointment Scheduling Platforms You may opt in when confirming or booking an appointment through our online scheduling system. 1.5 Text-to-Opt-In Keyword Enrollment You may join our SMS program by texting our designated keyword (e.g., “LUNG” or "START") to the phone number listed on our communication materials or website. 1.6 Double Opt-In (When Required) If you enroll via website or keyword, you may receive a confirmation message asking you to reply YES to complete your enrollment. Opt-in consent will always include disclosure about message frequency, potential carrier fees, and STOP/HELP instructions. 2. Types of Messages You Will Receive SMS messages sent by the Clinic are administrative only and are not used for diagnostic or clinical communication. Message types include: ✔ Appointment-related messages Confirmation of scheduled visits Reminders (72 hours, 24 hours, same-day) Requests to confirm or reschedule Instructions for upcoming visits ✔ Administrative notifications Office hours and holiday closures Weather/emergency closure updates Check-in or paperwork reminders Updates about clinic policies ✔ Care coordination (non-PHI) Refill request received Test results available in your secure portal Request to call the office for assistance ✔ Billing and insurance (non-PHI) Notification that a bill or statement is available Reminders to update insurance information ✔ After-hours messages Automatic response when texting us outside normal business hours Emergency warnings (“If this is a medical emergency, call 911.”) We do NOT send protected health information (PHI), diagnoses, test results, or confidential medical content through SMS. 3. Message Frequency Message frequency varies depending on your appointment activity and clinic needs. Typical frequency is: 1–4 messages per appointment plus occasional operational alerts. You will not receive marketing or promotional SMS messages. 4. How to Opt Out (STOP Command) You may opt out of SMS messages at any time by replying: STOP Once received, you will immediately receive: “You have opted out of Houston Clinic for Lungevity text messages and will no longer receive alerts. Reply START to resume.” You may also opt out by contacting our office directly by phone or in writing. 5. How to Request Help (HELP Command) At any time, you may reply: HELP You will receive: “Houston Clinic for Lungevity Support: Call 346-492-6805. Msg & data rates may apply. Reply STOP to cancel.” 6. Charges and Carrier Fees The Clinic does not charge for SMS messaging. Your mobile carrier’s message and data rates may apply based on your individual plan. 7. Privacy & Data Protection We take your privacy and security seriously. 7.1 No PHI via SMS To protect your confidentiality and comply with HIPAA, we do not transmit sensitive medical information through SMS. 7.2 Secure Use of Your Mobile Number Your mobile number is used exclusively for Clinic communication and is: Never sold Never shared with third parties for marketing Never used for unrelated purposes SMS services may rely on third-party providers (such as 8x8 and participating mobile carriers) solely to deliver messages. These vendors must maintain appropriate security standards. 8. Voluntary Participation Your decision to receive SMS messages is optional and not required for treatment. You will continue to receive care even if you decline or opt out of SMS messaging. 9. Changes to This Policy We may occasionally update this policy to reflect operational needs, legal requirements, or improvements to our communication processes. Updates will be posted on our website with a revised “Last Updated” date. 10. Contact Us If you have questions about this SMS policy or need assistance managing your preferences, please contact us: Houston Clinic for Lungevity 2201 W Holcombe Blvd. Suite 320 Houston TX 77030 Phone: 346-492-6805 Email: info@houstonclinicforlungevity.com

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