By submitting your information below, you agree to authorize the following communications from the practice to be delivered by the provided electronic means (SMS, email).
Please understand that some forms of electronic communications may not be secure, creating a risk of improper disclosure to unauthorized individuals. In submitting information below, you accept that risk and understand that the practice is NOT responsible should such an incident occur.
Chrysalis will not use your information for fundraising, business, or marketing communication.
If you do not consent to SMS or email, please call our office at 910-790-9500.
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Privacy Policy and HIPAA Statement – Confidentiality is very important to us. We hope that you will read over this information to familiarize yourself with our policies that protect your private health information. You will find an acknowledgement of receipt for these practices in your packet listed above.
- SMS Privacy Practices: Individual who consents to receive SMS messages from Chrysalis will receive messages regarding their existing services and offers for new service. Normally message frequency is 5 or less per month excluding replies to customer requests. Customers may opt out at any time by texting STOP to 910-790-9500 or by calling the same number and requesting to be removed. Consent is not a condition to receive services. Message and data rates from your cell phone carrier may apply.