SMS Consent & Opt-In Workflow

Public 10DLC opt-in evidence page for CCM RPM Services. This page documents every method used to collect express SMS consent and includes all required SMS program disclosures.

On this page Brand Program Consent Is Optional Online Form Paper Form Verbal Script QR / Flyer Disclosures Data Sharing Sample Messages Opt-Out & Help Footer Links

1. Brand Identification

CCM RPM Services uses SMS messaging to communicate with individuals who have expressly opted in to receive text messages.

2. SMS Program Description

CCM RPM Services may send SMS messages related to chronic care management, remote patient monitoring, appointment reminders, care coordination updates, service updates, enrollment follow-up, educational information, health check-in notifications, and occasional informational or promotional messages.

3. Consent Is Optional

Consent to receive non-essential marketing, promotional, or informational SMS messages is not required as a condition of receiving services, purchasing any service, submitting a form, completing enrollment, or completing any transaction.

4. Online Opt-In Form Workflow

Below is the actual online SMS opt-in form used on this page. The SMS consent checkbox is unchecked by default and is optional — the form can be submitted without checking it. SMS consent is recorded only when the individual affirmatively checks the box.

SMS Opt-In Form

Required only if you wish to receive SMS messages from CCM RPM Services.

Optional SMS Consent OPTIONAL

This form can be submitted without checking the SMS consent box. Consent is recorded only when the box is affirmatively checked.

Thank you. Your submission has been received. SMS consent will be recorded only if you checked the optional consent box above.

Form rules enforced:

5. Paper Form Opt-In Workflow

The same disclosures and the same optional SMS consent checkbox appear on paper enrollment forms used at participating physician practices and at in-person enrollment events. The paper form mockup below shows the exact language used:

Mobile Phone Number:  

Optional SMS Consent:

I agree to receive recurring text messages from CCM RPM Services regarding chronic care management, remote patient monitoring, appointment reminders, care coordination updates, service updates, enrollment follow-up, educational information, health check-in notifications, and occasional informational or promotional messages. Consent is not required as a condition of receiving services or purchasing any service. Message frequency varies, typically 1–4 messages per month. Message and data rates may apply. Reply STOP to opt out. Reply HELP for help. View our SMS Terms & Conditions and Privacy Policy.

For paper forms, the individual must manually check the optional SMS consent checkbox. Staff records SMS consent only when the checkbox is checked. If the checkbox is not checked, the individual is not enrolled in the SMS program.

6. Verbal Phone / In-Person Opt-In Script

Authorized staff use the following script verbatim when collecting verbal SMS consent over the phone or in person:

“CCM RPM Services can send you text messages about chronic care management, remote patient monitoring, appointment reminders, care coordination updates, service updates, enrollment follow-up, educational information, health check-in notifications, and occasional informational or promotional messages. Message frequency varies, typically 1–4 messages per month. Message and data rates may apply. Consent is optional and is not required to receive services or purchase any service. You may reply STOP to opt out at any time or HELP for help. Our Privacy Policy and SMS Terms are available at ccmrpmservices.com. Do you agree to receive these text messages from CCM RPM Services?”

Staff records the individual’s verbal consent only after the individual affirmatively says yes. If the individual does not clearly agree, the individual is not enrolled in the SMS program.

7. QR Code, Flyer, or Advertisement Opt-In Workflow

If a QR code, flyer, brochure, advertisement, or printed material is used, it directs individuals to this SMS opt-in page or to an online form that contains the same required disclosures and an optional unchecked SMS consent checkbox. SMS consent is not collected from the QR code or flyer alone. Consent is collected only after the individual completes the opt-in form or otherwise affirmatively agrees through an approved opt-in method.

8. Required SMS Disclosures

9. Data Sharing Statement

SMS consent and phone numbers collected for SMS purposes will not be shared with third parties or affiliates for marketing or promotional purposes. SMS opt-in data is used only by CCM RPM Services and authorized service providers necessary to deliver the messaging service.

10. Sample SMS Messages

CCM RPM Services: You may be eligible for chronic care management support. Reply STOP to opt out, HELP for help. Msg & data rates may apply.
CCM RPM Services: Reminder to complete your remote patient monitoring setup. Reply STOP to opt out, HELP for help. Msg & data rates may apply.
CCM RPM Services: Your care coordination update is available. Please contact our team for details. Reply STOP to opt out, HELP for help.
CCM RPM Services: Thank you for contacting us. Our team will follow up during business hours. Reply STOP to opt out, HELP for help.

11. Opt-Out and Help Instructions

You may opt out at any time by replying STOP to any message from CCM RPM Services. For help, reply HELP. You may also contact support@ccmrpmservices.com.

Privacy Policy SMS Terms & Conditions SMS Policy Terms of Service Contact

Last updated: April 2026.