Employee Consent to Receive Text Messages
APC Home Health Service, Inc., including its division APC Homemaker Services ("APC"), can send work-related text messages to its employees. Signing this form is optional. Consent is not a condition of employment. If you do not sign, or if you opt out later, your office will contact you by phone or email instead.
1. Your information
- Full name
- Mobile phone number
- Your role (tick one)
- ☐ Nurse ☐ Attendant or homemaker ☐ Office staff ☐ On-call staff ☐ Other: ______
- Branch or office
- Today's date
2. What APC will text you about
If you consent, APC will text you about:
- Messages from callers and the office: who called, the general reason, and how to call back
- On-call and after-hours alerts for staff on duty
- Work schedule and shift notices
- Visit verification (EVV)
- Company announcements
- No marketing or promotional messages
Text messages do not include patient health information. Details are shared through secure company channels.
3. Your consent
By giving APC your mobile number and ticking the box above, you agree to receive text messages from APC Home Health Service, Inc., including its division APC Homemaker Services, about the subjects listed above. We do not send marketing or promotional messages. Text messages do not include patient health information. Details are shared through secure company channels. Consent is collected on this signed paper form. Consent is not a condition of employment, and staff who opt out are contacted by phone or email. Message frequency varies. Message and data rates may apply. Reply HELP for help or STOP to opt out. Mobile information will not be shared with third parties or affiliates for marketing or promotional purposes.
4. Stopping messages and getting help
You can stop the messages at any time by replying STOP to any text from APC. We will send one message confirming that you have been unsubscribed, and then stop. Reply HELP to any message, call (800) 272-1131, or email wecare@apchh.com for help. If you opt out, your office will contact you by phone or email instead. Opting out does not affect your job.
5. Emergencies and patient information
Text messages are not secure and are not monitored around the clock. If you have an emergency, hang up and dial 911. Do not reply to an APC text with patient names, addresses, diagnoses, or other health information — those details are shared through secure company channels.
6. Privacy
Your mobile number and your consent are used only to send you the messages described above. Mobile information will not be shared with third parties or affiliates for marketing or promotional purposes. Our full privacy policy is at https://apchh.com/privacy/.
7. Signature
- Signature
- Printed name
- Date
For APC office use only: received by ____________________ date ____________ entered ☐