SMS Communication Consent Form

Appointment reminders and scheduling Intake and registration updates Insurance or authorization updates Billing and administrative notices Requested documents or forms Office closures and service announcements Employee schedules and shift updates Credentialing, training, and HR notices Customer or employee support Account notifications Two-factor authentication and verification codes Security alerts Fraud alerts Other requested communications

American Institute of Mental Health Inc. — SMS Program Terms (version SMS-TERMS-V1-2026-08-01)

1. Program and brand. This SMS/MMS program is operated by American Institute of Mental Health Inc., 15271 NW 60th Ave, Unit 104, Miami Lakes, FL 33014. All messages identify us as the sender.

2. Types of messages. Depending on your relationship with us you may receive: appointment reminders and scheduling, intake and registration updates, insurance or authorization updates, billing and administrative notices, requested documents or forms, office closures and announcements, employee schedules (staff), credentialing/training/HR notices (staff), account notifications, two-factor authentication and verification codes, security alerts, fraud alerts, and support messages. We do not send marketing messages under this program, and messages never include diagnoses, detailed clinical notes, Social Security numbers, or insurance member numbers.

3. Message frequency varies based on your relationship with our organization and your activity.

4. Fees. Message and data rates may apply; they are charged by your mobile carrier, not by us.

5. Opting out. Reply STOP to any message at any time (one final confirmation will follow), use americaninstituteofmentalhealth.com/sms-cancel, or call +1 786-652-6945. Reply START or submit a new consent form to re-join.

6. Help. Reply HELP to any message, visit americaninstituteofmentalhealth.com/support, or email management@americaninstituteofmentalhealth.com.

7. Consent and privacy. Consent is not a condition of purchasing goods or receiving healthcare services or employment. Withdrawing consent never affects your care. Mobile phone information will not be shared with or sold to third parties or affiliates for marketing or promotional purposes. Consent records are kept in an append-only audit log for at least 4 years. See the full Privacy Policy at americaninstituteofmentalhealth.com/privacy-policy.

8. General. Carriers are not liable for delayed or undelivered messages. The current terms are always available at americaninstituteofmentalhealth.com/sms-terms-and-conditions.

— End of terms. You may now mark them as read above the consent box. —

I agree to receive conversational and informational text messages from American Institute of Mental Health regarding appointments, appointment reminders, scheduling, intake coordination, insurance verification, billing notifications, customer support, and other service-related communications.

Privacy Policy · SMS Terms & Conditions

By checking the box above, you consent to receive SMS messages from American Institute of Mental Health.

• Message frequency varies.
• Message and data rates may apply.
• Reply STOP to opt out at any time.
• Reply HELP for assistance.
• Consent is not a condition of receiving services.
• No mobile information will be shared with third parties or affiliates for marketing or promotional purposes.
• View our Privacy Policy and SMS Terms & Conditions.