Hummingbird Heart Counseling INC (formerly Cherie Skillings Counseling Services)

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My partner and me

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SMS Consent and Privacy Policy

All Information obtained will be protected under HIPAA requirements. If you contact Hummingbird Heart Counseling through e-mail or text message, we cannot guarantee confidentiality. Please only use those methods for brief messages relating to logistics of appointments. Hummingbird Heart Counseling will maintain the confidentiality of our counseling relationship and will not disclose your information outside of consultation unless required by law. SMS Terms & Conditions No mobile opt-in or text message consent will be shared with third parties or affiliates. Phone Numbers obtained as part of the SMS consent process will not be shared with third parties for marketing purposes. If consent has been given to receive text messages from Hummingbird Heart Counseling, messages will be related to appointment reminders and scheduling. Example: [Hummingbird Heart Counseling] We need to reschedule your appointment. Would next Wednesday at 4:00 work? You can also contact us at info@skillingscounselingservices.com Reply STOP to opt out. Message frequency may vary depending on the type of communication. For example, up to 4 SMS messages per week may be received related to appointments. Standard message and data rates may apply, depending on the carrier's pricing plan. These fees may vary if the message is sent domestically or internationally. Opt-in to receive SMS messages from Hummingbird Heart Counseling can be done in the following ways: By electronic or paper form or by client initiating. Opting out of receiving SMS messages can be done at any time by replying "STOP" to any SMS message received. Alternatively, direct contact can be made to request removal from the messaging list. For any issues, reply with the keyword HELP or help can be obtained directly from us at Hummingbirdheartcounseling.com. If SMS messages are not desired, the SMS consent box on forms can be left unchecked. "SMS opt-in or phone numbers for the purpose of SMS are not being shared with any third party and affiliate company for marketing purposes." "By checking this box, you agree to receive SMS messages from Hummingbird Heart Counseling related to appointments. You may reply STOP to opt-out at any time. Reply to HELP to 541-419-0333 for assistance. Messages and data rates may apply. Message frequency will vary"

Check box to opt in to SMS Messaging

Client Preferences

Preferred appointment times

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Is there anything that the practitioner needs to know?

For example: what you'd like to focus on, insurance or payment questions, etc.

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For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.