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 "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means. Effective Date: 02/18/2025 By opting in to receive SMS messages from Family Matters of Marin, you agree to these Terms and Conditions. By providing my phone number, I consent to receive SMS text messages from Family Matters of Marin for appointment reminders and general two-way communication about referral calls. Message and Data Rates may apply. You may get more than one message from us unless you opt-out, and while messaging frequency varies, you will likely receive 1 message after you reach out to us initially and no more than 3 total if you don’t respond. Family Matters of Marin reserves the right to alter the frequency of messages at any time to increase or decrease the total number of messages. Family Matters of Marin and carriers are not liable for delays or undelivered messages. Message and Data Rates may apply based on your mobile carrier’s terms. Your information will be handled in accordance with our Privacy Policy https://familymattersofmarin.com/wp-content/uploads/2025/02/SMS-Privacy-Practices-for-Family-Matters-of-Marin.pdf. To Opt-in text JOIN or SUBSCRIBE. You can OPT-out of receiving SMS messages at any time by replying STOP or UNSUBSCRIBE to any message we send you. After you opt out of text messaging, you will receive one additional message confirming your request has been processed. Help/Customer Support Text the word HELP or INFO for support. You may also contact us directly at practicemanager@familymattersofmarin.com. We are not responsible for any charges, errors, or delays in SMS delivery or undelivered messages caused by your carrier or third-party service providers.

Do you agree to receive text messages from Family Matters Of Marin sent from 415-326-6354? Message frequency may vary and will include appointment reminders and customer support. Message and data rates may apply. Reply STOP or CANCEL to opt-out at any time, or HELP for assistance. For support, contact us at 415-326-6354.