Patient SMS Consent — Active SOS

About This Program

About This Messaging Program

Active SOS operates an SMS program on behalf of enrolled healthcare practices to support Remote Patient Monitoring (RPM). This program sends two kinds of messages to patients: (1) scheduled check-in texts based on the patient's individual care plan, and (2) confirmation/response messages sent back to a patient after they submit a health alert through the Active SOS app. This is not a marketing, advertising, or solicitation program.

This page covers the patient-facing side of the SMS program. For SMS notifications sent to physicians and staff, see SMS Consent (Provider Program).

All SMS recipients are:

Patients enrolled in an Active SOS RPM program by a registered healthcare practice
Informed of the SMS program and given the opportunity to consent before any check-in messages begin
Able to opt out at any time by replying STOP

Consent Collection

How Patients Enroll — Two Opt-In Paths

Patients enroll in the Active SOS RPM check-in program in one of two ways, depending on the care setting:

Path 1 — Paper Consent at Discharge

Completed in person, typically at hospital or practice discharge. The patient (or their authorized representative) signs a form authorizing SMS check-ins and provides a mobile number.

Path 2 — SMS Keyword START

The patient texts START to the practice's Active SOS RPM number and receives an automated confirmation before any check-ins begin.

Path 1: Paper Consent Form

The following is a representative version of the paper consent form used at discharge. It collects the patient's name, mobile number, and affirmative written consent before enrollment.

Patient Name

Enter patient name

Discharge / Enrollment Date

MM / DD / YYYY

Mobile Number (will receive RPM check-in texts)

+1 (___) ___-____

I consent to receive automated SMS check-in messages and alert-response confirmations from Active SOS on behalf of my care team. Message frequency is set by my care plan and varies. Msg & data rates may apply. Reply STOP to opt out at any time. Reply HELP for assistance. Required to enroll

Patient / Representative Signature

Signed

Action needed before Twilio resubmission: Replace this mockup with a photo or scan of the actual discharge consent form your practices use, hosted at a public URL on this site (e.g. an image linked from this page). Twilio/TCR requires publicly verifiable evidence of offline (paper) opt-in — a representative HTML mockup is not sufficient on its own for this path, the way it is for a portal-gated digital flow. Send me the form and I'll add it here.

Path 2: SMS Keyword START

A patient who has not completed paper consent may enroll by texting the keyword START to the practice's Active SOS RPM number. No check-in messages are sent until this step is completed.

Action needed before Twilio resubmission: This page currently shows placeholder/example text below for the START confirmation reply, the HELP reply, and the enrollment number. Twilio requires the literal, exact text your system sends — not an approximation. Confirm the real values with your Connect/Twilio configuration and I'll update this page and your campaign submission to match exactly.

Patient texts

START

Automated reply (example — confirm exact production text)

Active SOS: You're enrolled in your care team's RPM check-in program. Msg frequency varies by care plan. Msg & data rates may apply. Reply HELP for help, STOP to cancel.

Consent Language

Full Consent Language Presented to Patients

The following language is presented to each patient at the point of consent, whether on the paper form or referenced in the SMS enrollment flow:

This consent is specific to the RPM SMS program described here. It is separate from, and does not affect, the patient's use of the Active SOS mobile app for one-tap alerts.

Message Types

Message Frequency & Types

Message frequency is set by the patient's individual care plan and varies by practice and clinical need. All messages sent through this program are operational RPM messages only:

Scheduled check-in questions (e.g., symptom or medication check-ins)
Confirmation replies acknowledging a patient-submitted alert or check-in response
Enrollment and opt-out confirmations (START / STOP)

No marketing, promotional, or third-party messages are ever sent through this program.

Message Examples

Sample Messages

The following are representative examples of messages sent through this program. All messages identify Active SOS as the sender and include opt-out instructions.

Sample 1 — Scheduled Check-In

Active SOS: How are you feeling today? Rate 1-10. Reply STOP to opt out.

Sample 2 — Medication Check-In

Active SOS: Have you taken your medications today? Reply STOP to opt out.

Sample 3 — Alert Response Confirmation

Active SOS: Your alert was received and forwarded to your care team. If this is an emergency, call 911. Reply STOP to opt out.

Opt-In / Opt-Out Instructions

Keyword Instructions

Keyword	Action	Response Sent
START	Enrolls the patient in RPM SMS check-ins	See Path 2 above — confirmation text pending verification
STOP	Immediately unsubscribes from all RPM SMS messages	"You have been unsubscribed from Active SOS RPM check-ins. No further messages will be sent. Contact your care team to re-enroll."
HELP	Returns support contact information	"Active SOS RPM check-ins. For help, contact support@activesos.com or visit activesos.com. Reply STOP to unsubscribe. Msg & data rates may apply."

Privacy & Data

Privacy & Data Handling

Active SOS does not sell, rent, share, or transfer mobile phone numbers or SMS consent data to any third party for marketing or promotional purposes.

Mobile numbers collected for this program are used solely to deliver operational RPM check-in and alert-response messages. Data handling complies with HIPAA, TCPA, and CTIA Messaging Principles.

For full details, see the Active SOS Privacy Policy and Terms & Conditions (Section 5 covers SMS notifications under Twilio A2P).

Contact

Contact Us

For questions about this messaging program or to request removal from all Active SOS SMS communications:

Email: support@activesos.com

Website: www.activesos.com

Business: Calm Water Trading, LLC dba Active SOS — Oklahoma City, OK