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Digital Consent Form

CONSENT TO RECEIVE DIGITAL COMMUNICATIONS FROM DERBY CITY EYE CARE

By including my name below, I authorize Derby City Eye Care to communicate with me via mobile phone, text message, email, and any other kind of online or digital communication. I also authorize Derby City Eye Care to provide me with digital copies of my eyeglass prescription, contact lens prescription, and medical records upon my request. I understand that digital copies are not encrypted and agree to assume the risks associated with receiving them in this manner. I also understand that I may request paper copies of these materials at any time.
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