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hi im lori boyer welcome to solution teach text and compliance beyond hipaa you should also make sure youre staying compliant with the tcpa thats the telephone consumer protection act this law makes it unlawful to send any text without express written consent of course patients are allowed to share anything they want with whomever they feel like so they just might send you a text asking all sorts of medical questions but you are not okay to text back without consent so if you want to text with a patient about their health you first got to make sure youre covered there are a few requirements when it comes to consent first let a patient know that you are communicating through an unsecured channel second make sure they are aware of that risk and finally once they agree document this consent if the patient is uncomfortable with the risk suggest that you move to a secure method of communication instead this will keep everyone safe and happy there are some exceptions to the consent rule