FORMS and RELEASES

"Wherever the art of medicine is loved, there also is love of humanity."

- Hippocrates 

Wheat State Holistic Healthcare and Intervational Pain Management is dedicated to advancing healthcare through innovative practices and patient-centered approaches. With a commitment to excellence and compassion, we strive to empower individuals on their journey towards holistic wellness. 

 Opt-In for Electronic and SMS Messaging

General Consent for Electronic Communications:
By providing your email address and/or phone number, you consent to receiving electronic communications, including appointment reminders, billing statements, and other healthcare-related information, from Wheat State Holistic Healthcare and Interventional Pain Management. You acknowledge that electronic communications may not be fully secure, and you accept the risks associated with electronic transmission.

Opt-In Consent for SMS Messaging:
I consent to receive SMS text messages from Wheat State Holistic Health and Interventional Pain Management at the phone number I have provided. These messages may include appointment reminders, health updates, billing notifications, and other practice-related communications. I understand that standard messaging and data rates may apply based on my mobile carrier plan.