Details of How My Organization (AxiomRx) Obtains SMS Opt-In

My SMS platform provider, Spruce Health, specializes in powering medical communications across many channels, including SMS text messaging, which is used by many healthcare practices to communicate with patients and others outside of the practice.

Please note that I, from time to time, make use of agreements that are not available on any public website, such as agreements on paper forms or agreements that are accessible only via private online forms. So while I am faithfully and consistently gathering SMS opt-ins via specific contractual language, as described below, this language is not necessarily present on any publicly available website.

Paper SMS Consent Form

I use the following paper form in my standard agreement paperwork in order to collect opt-in consent for SMS texting. When an end user visits AxiomRx, they are presented with the following paper form, or a substantially similar form, to fill out and complete to obtain SMS opt-in consent.

AxiomRx SMS Consent Form

Consent to Receive SMS Text Messages
I consent to receive SMS text message communications from AxiomRx, using Spruce Health as its SMS text messaging service provider, at the mobile phone number I provide. These communications may include appointment reminders, appointment changes or cancellations, account or care-related notifications, or administrative messages related to the services provided to me. I understand that providing consent to receive text messages is not a condition of receiving care or services.

Text Message Details
I understand that message frequency may vary and that standard message and data rates may apply based on my mobile carrier and plan. SMS messages are used for scheduling, administrative activities, and care-related communications. SMS opt-in and consent data will not be shared with any third parties.

Opt-Out and Help
I understand that I may revoke my consent at any time by texting "STOP" to (763) 251-9423. After opting out, I will receive a confirmation message confirming that I have been unsubscribed. For assistance, I may text "HELP" or contact AxiomRx at (763) 251-9423.

Text Message Origin
I understand that SMS text messages from AxiomRx may originate from the following organizational phone numbers:

  • (763) 251-9423


Additional Information
More information about AxiomRx's SMS communications and privacy practices is available at:


Consent Acknowledgment
Please indicate your choice below:

  • ☐ Yes, I consent to receive SMS text messages from AxiomRx

  • ☐ No, I do not consent to receive SMS text messages from AxiomRx


Mobile Phone Number for Text Messages
Please provide the mobile phone number where you would like to receive SMS text message communications from AxiomRx.

Mobile Phone Number: _______________________________

By providing this mobile phone number, I confirm that I am the authorized user of this number and that I consent to receive SMS text messages at this number as described above.

Signature: _______________________________

Printed Name:_______________________________

Date: _______________________________


Verbal Consent

SMS opt-in consent may also be obtained verbally during an appointment with an end user. In the case of verbal opt-in, AxiomRx uses a script substantially similar to the following:

AxiomRx Staff: "For your convenience, AxiomRx, using Spruce Health as its SMS text messaging service provider, can send you text message updates related to your care, such as appointment reminders, scheduling updates, and other administrative or care-related messages. Message frequency may vary, and standard message and data rates may apply based on your mobile plan.

You can opt out at any time by replying STOP, or get help by replying HELP. Additional details are available in our SMS Terms of Service and SMS Privacy Policy, which we will provide to you.

Would you like to receive these text messages? Please say yes or no."

[End User]: "Yes."

AxiomRx Staff: "Thank you. What is the mobile phone number you would like us to use for text messages?"

[End User]: "[Provides mobile number]"

AxiomRx Staff: "Great. We will send you a text message to confirm your enrollment shortly."

AxiomRx SMS Privacy Policy & Terms of Service

My SMS platform provider, Spruce Health, supplied me with model verbiage to use in conjunction with my standard agreement paperwork in order to collect opt-in consent for SMS texting which can be reviewed below in the "SMS Text Messaging Terms of Service" and "SMS Text Messaging Privacy Policy."

When I submitted my registration, I indicated that I had incorporated that language, or substantially similar language, into my standard agreements; therefore, the SMS platform provider has submitted this attestation, on my behalf:

Our standard terms of service and privacy policy describe our SMS text messaging program. Users receive SMS messages only after providing separate, affirmative consent to opt in, as described in "Details of How My Organization (AxiomRx) Obtains SMS Opt-In."

Please note that I, from time to time, make use of agreements that are not available on any public website, such as agreements on paper forms or agreements that are accessible only via private online forms. So while I am faithfully and consistently gathering SMS opt-ins via specific contractual language, as described below, this language is not necessarily present on any publicly available website.

SMS Text Messaging Terms of Service

"AxiomRx" SMS Text Messaging Terms of Service

These SMS Text Messaging Terms of Service (these "SMS Terms") are incorporated into all agreements between you and "AxiomRx" ("our organization", "us", "we"), including any agreements that are preexisting and any agreements that might be enacted contemporaneously with these SMS Terms.

"AxiomRx" might use SMS text messaging, from time to time, for certain types of communication with you, including potentially for administrative issues, such as billing, or for health-related issues, such as care reminders.

By opting in, you agree to receive SMS text messages from "AxiomRx" related to services that we are providing to you. Message and data rates may apply, and message frequency varies. You may text us STOP at any time to opt out of receiving SMS text messages from us. You may text us HELP at any time to receive help. Carriers are not liable for any delayed or undelivered messages.

Our SMS Text Messaging Privacy Policy can be reviewed here: /terms-and-privacy-policy/56aede356303b9a060937c7e01823d558aff0cbda5672b2360de124dbf42dd74 #sms-privacy-policy

You understand that SMS text messages from "AxiomRx" may originate from our organizational phone numbers, including:

  • (763) 251-9423


SMS Text Messaging Privacy Policy

We respect your privacy and are committed to protecting your personal information. Any information collected as part of our SMS or text messaging program, including mobile phone numbers, messaging consent, and opt-in data, is used solely for the purpose of providing the messaging services you have opted-in to receive. No mobile opt-in data or text messaging consent information will be shared, sold, rented, or disclosed to any third parties, except as required to deliver the messaging service or to comply with applicable laws.

Website Tracking, Advertising, and Email Communications Policy

1. Data Collection & CRM Storage When you voluntarily submit information through our website forms (axiomrxchiro.com) or over the phone, we securely store this data (such as your name, email, phone number, and primary complaint) in our HIPAA-compliant Customer Relationship Management (CRM) system. This information is used strictly to provide you with care, respond to your inquiries, and manage your patient file.

2. Email Marketing & Newsletter If you provide your email address and opt-in to our communications, we may use your email to send you clinic updates, scheduling links, and our weekly wellness newsletter. We fully comply with the CAN-SPAM Act. You can easily opt out of our marketing emails at any time by clicking the "Unsubscribe" link located at the bottom of any automated email, or by contacting us directly.

3. Cookies, Analytics, and Targeted Advertising To improve our website and reach the local Minneapolis community, we use cookies, pixels, and similar tracking technologies provided by third-party platforms (including Google and Meta/Facebook).

  • Analytics: We use Google Analytics to understand how visitors interact with our website. This data is anonymized and helps us improve user experience.

  • Advertising: We use Google Ads and the Meta (Facebook/Instagram) Pixel. These tools allow us to deliver targeted, relevant advertisements to users who have visited our site or shown interest in our services. These platforms use cookies to track your activity across the internet to serve these ads.

  • How to Opt-Out: You can control or block cookies through your web browser settings. You can also opt out of personalized advertising by visiting the [Google Ad Settings page] or the [Network Advertising Initiative opt-out page].

4. Third-Party Service Providers & Data Sharing We use secure, third-party software (such as Squarespace for website hosting and Zoho for our CRM and email campaigns) to operate our clinic. These processors are strictly bound by confidentiality and data protection agreements. Crucially, as outlined in our SMS/Texting policy, your mobile information and SMS opt-in consent will NEVER be shared with or sold to third parties or affiliates for marketing or promotional purposes.