SMS Consent Form

SMS Consent

Complete this form to opt in to SMS communications from Intercity Animal Emergency Clinic.

Contact Information

First Name *

Last Name *

Mobile Phone Number *

Email Address

SMS Consent

I voluntarily consent to receive SMS text messages from Intercity Animal Emergency Clinic related to appointment reminders, updates, and service-related communications at the phone number I provided.

My consent is not a condition of purchase. Message & data rates may apply. Message frequency may vary. Reply HELP for help or STOP to cancel at any time. View Privacy Policy. Privacy Policy

We will not share your mobile information with third parties for marketing purposes.

Privacy Policy

I acknowledge that I have read and agree to the: Privacy Policy*

Signature

Signature *

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Date

09/15/2026