Vironeo Holdings, Inc. · 14192 Metropolis Ave, Fort Myers, FL 33912 · info@vironeo.com
SMS program number: 1-866-728-9252 (toll-free)
By signing below, I authorize Vironeo Holdings, Inc. ("Vironeo"), acting in support of my treating clinic, to send text messages to the mobile number I provide regarding my care, including: appointment and infusion reminders, laboratory draw reminders, and outpatient antimicrobial therapy (OPAT) check-in prompts.
Program terms
• Message frequency varies; typically 1–4 messages per week during active treatment.
• Message and data rates may apply, depending on your mobile carrier plan.
• Reply STOP at any time to opt out. Reply HELP for help, or call the clinic.
• Consent is not a condition of receiving treatment or services.
• Messages are reminders only and will not contain diagnoses, test results, or medication details.
• Your phone number and consent are used only for these care messages and are never shared with third parties or affiliates for marketing or promotional purposes.
See our Privacy Policy at vironeo.com/privacy-policy.html and Terms at vironeo.com/terms.html.
Patient name (print):
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