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By choosing to provide your mobile information, you agree to receive SMS text messages from us related to services that we are providing to you (such as for the purposes of scheduling, rescheduling, and/or appointment reminders). Messaging frequency may vary. Messaging and data rates may apply. Your mobile information will not be shared with any third parties/affiliates for marketing/promotional purposes, and all Protected Health Information (PHI) is stored in a HIPAA compliant platform. All policies are followed as per CTIA guidelines 5.2.1. Text STOP at any time to opt out of receiving SMS text messages or HELP for assistance. If at any time you want your information to be removed, or if you have any privacy related queries, you can contact us via our email address at [email protected] or regular mail at 345 Regis Ave. Suite 2 Pittsburgh, PA 15236.

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By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Submit," you agree to hold Psychological Perspectives LLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.