I consent to have my physician, Dr. Richard Gallagher, and other staff at Gallagher Chiropractic and Wellness Center or Ballantyne Weight Loss Center to communicate with me by email, voice mail, and standard SMS/text messaging regarding various aspects of my health care, which may include, but shall not be limited to, test results, appointments, and billing. I understand that email, voice mail, and standard SMS/text messaging are not confidential methods of communication and may be insecure. I further understand that, because of this, there is a risk that email, voice mail, and standard SMS/text messaging regarding my medical care might be intercepted and/or viewed by a third party.
Gallagher Chiropractic and Wellness Center and Ballantyne Weight Loss Center will never share or sell your information to other entities for the purpose of marketing.