Consent for Answering Service

Ocuverse AI
Employee Text Communication Consent Form

Purpose:
This form documents your consent to receive text message communications from OcuverseAI through third-party platforms, including Twilio and the After-Hours Answering Service.

Scope of Communication:
You may receive messages that include, but are not limited to:

• Notifications regarding after-hours patient calls

• Urgent clinical or scheduling matters

• Reminders or alerts related to on-call responsibilities

• Other work-related communications deemed necessary by OcuverseAI

Message Platform:
Text messages may be sent using automated systems or live agents through services such as Twilio, and may be routed through our HIPAA-compliant After-Hours Answering Service.

Consent to Receive Messages:
By signing below, you:

1.Acknowledge and agree that your personal or work mobile number may be used to receive work-related text messages.

2.Understand that standard messaging rates may apply based on your mobile plan.

3.Confirm that you will notify OcuverseAI if your phone number changes.

4.Acknowledge that these communications are for operational purposes and not for marketing.

5.Understand that text messages may occur outside of regular working hours, especially if you are part of the on-call schedule.

Employee Information:
Name: ______________________________________
Mobile Number: _______________________________
Preferred Contact Time (if applicable): _____________

Consent & Signature:
I hereby give consent to receive text communications from OcuverseAI via Twilio and affiliated after-hours communication systems as outlined above.

Signature: ____________________________________
Date: ___________________