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Agreement to Receive eCommunication

Agreement to Receive Electronic Communication

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Initial Below

That the dental practice may communicate with me electronically at the email address and/or mobile phone number listed below. I am aware that there is some level of risk that third parties might be able to read unencrypted emails. I further agree that I am responsible for providing the dental practice any updates to my email address and/or mobile phone number.
I can withdraw my consent to electronic communications at anytime by calling:

Fantastic Family Dental

phone

(408) 819-3443

mail

drlin@FantasticFamilyDental.com

Date

5/9/2024
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  • Monday09:00 AM - 05:00 PM
  • TuesdayClosed
  • Wednesday09:00 AM - 05:00 PM
  • Thursday09:00 AM - 05:00 PM
  • FridayClosed
  • Saturday08:45 AM - 02:00 PM
  • SundayClosed
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