Messaging agreement 2026

1. Click ‘Get Form’ to open the messaging agreement in the editor.
2. Begin by reviewing the introduction, which outlines the purpose of the agreement and your options regarding text message reminders from HHSA.
3. In the section labeled 'Authorization', select either 'YES' or 'NO' to indicate your preference for receiving text messages. This is crucial as it determines whether you will receive notifications about your benefits.
4. Fill in your 'Printed Name' and 'Date of Birth' in the designated fields to verify your identity.
5. Provide your 'Cell Phone Number' where you wish to receive text messages. Ensure this number is accurate to avoid any communication issues.
6. Sign and date the form at the bottom, confirming your consent for HHSA to send you text messages regarding appointments and renewals.
7. Once completed, return this form using the attached envelope provided within the document.

Start filling out your messaging agreement today for free and streamline your communication with HHSA!