PART 1: SMS TERMS OF SERVICE

1.1 Program Description

Midwest Movement Elkhorn ('we,' 'us,' or 'our') operates an SMS messaging program to communicate with current and prospective patients ('you') about chiropractic care, functional rehabilitation, sports massage, and related services. Messages may be sent from 10-digit long codes (10DLC) registered to Midwest Movement Elkhorn. Our messaging is conversational in nature — we use SMS as a two-way channel to answer your questions, coordinate scheduling, and support your care plan.

1.2 Message Types

By opting in, you may receive the following types of messages:

Appointment reminders, scheduling confirmations, and rescheduling requests
Responses to questions you send us via text message
Care plan follow-ups and progress check-ins from your provider
Post-visit instructions, home exercise program guidance, or resource links
Notifications of schedule changes, clinic closures, or availability updates
General administrative communications related to your care

1.3 Message Frequency

Message frequency varies depending on your appointment schedule and the nature of your communications with our clinic. Patients actively in care may receive a few messages per week. You control much of the message flow — we respond to your messages and reach out when relevant to your care.

1.4 Message & Data Rates

Message and data rates may apply based on your mobile carrier plan. Midwest Movement Elkhorn does not charge separately for SMS communications. Contact your mobile carrier if you have questions about messaging costs under your plan.

1.5 Opting Out

You may opt out of our SMS program at any time:

Reply STOP to any text message from Midwest Movement Elkhorn
Call us at (402) 256-6683 and ask to be removed from SMS communications
Email clinic@midwestmovementelkhorn.com with an opt-out request

After replying STOP, you will receive one final confirmation message. No further messages will be sent unless you choose to re-enroll. Opting out does not affect your ability to continue receiving care at our clinic.

1.6 Getting Help

Reply HELP to any message for assistance, or reach us at:

Phone: (402) 256-6683
Email: clinic@midwestmovementelkhorn.com
Online: midwestmovementelkhorn.com/contact-us

1.7 Supported Carriers

Our SMS program is supported by all major U.S. wireless carriers including AT&T, Verizon, T-Mobile, U.S. Cellular, Boost Mobile, and others. Carrier availability may vary. Midwest Movement Elkhorn is not liable for undelivered messages due to carrier-side limitations.

1.8 Consent Is Not a Condition of Service

Providing your mobile phone number and consenting to SMS is entirely voluntary. You will not be denied chiropractic care, sports massage, rehabilitative exercise, DOT physicals, or any other service offered at Midwest Movement Elkhorn based on your SMS consent status.

1.9 Changes to These Terms

We reserve the right to modify these SMS Terms of Service at any time. Updated terms will be posted at midwestmovementelkhorn.com/sms-terms. Continued engagement with our SMS program after notice of changes constitutes acceptance of the updated terms.

PART 2: SMS PRIVACY POLICY

This SMS Privacy Policy explains how Midwest Movement Elkhorn collects, uses, and protects personal information gathered through our text messaging program. It supplements our general website privacy policy and applies specifically to SMS communications.

2.1 Information We Collect

When you opt into SMS communications, we collect:

Your mobile phone number
Your name (as provided at intake or on our web contact form)
The date, time, and method of your opt-in
Message content for quality assurance and compliance purposes
Opt-out requests and dates

2.2 How We Use Your Information

Your mobile number and associated information are used only to:

Deliver SMS messages relevant to your appointments and care
Respond to questions and requests you initiate via text
Maintain records of consent and communication preferences
Comply with applicable laws and mobile carrier requirements
Improve our communications and patient experience

2.3 No Sharing for Marketing Purposes

Midwest Movement Elkhorn does not sell, rent, lease, or share your mobile phone number or SMS opt-in data with any third party for marketing or promotional purposes.

We will not use your number to send you marketing messages from third-party businesses. Any third-party vendors who assist in delivering our SMS messages (such as our messaging platform provider) are contractually restricted to using your information only as directed by us and may not use it for their own marketing purposes.

2.4 Third-Party Service Providers

We may share your contact information with third-party technology vendors that assist in operating our SMS program. These vendors are bound by data processing agreements and may not use your information for purposes outside the scope of services they provide to Midwest Movement Elkhorn.

2.5 HIPAA Notice

Midwest Movement Elkhorn is a healthcare provider. To the extent that SMS communications involve health-related information, we handle that information in a manner consistent with our obligations under HIPAA. However, standard SMS text messaging is not an encrypted channel. We do not recommend transmitting detailed clinical health information via text. For clinical matters, please call us at (402) 256-6683 or use our secure patient portal.

2.6 Data Retention

Opt-in consent records and SMS communication logs are retained for a minimum of four (4) years, or longer as required by applicable law or healthcare regulations. Opt-out records are retained permanently to prevent inadvertent re-enrollment.

2.7 Security

Midwest Movement Elkhorn uses reasonable administrative, technical, and physical safeguards to protect the information we collect. No transmission method is entirely secure, and we encourage you not to send sensitive personal health information via text message.

2.8 Your Rights

You have the right to:

Opt out of SMS at any time by replying STOP
Request confirmation of your opt-in or opt-out status
Request deletion of your mobile number from our SMS program records (subject to legal retention requirements)
Ask questions about how your information is used

2.9 Contact Us

For questions about this policy or to exercise your rights, contact us at:

Midwest Movement Elkhorn

2929 N. 204th St, Suite 117, Elkhorn, Nebraska 68022

Phone: (402) 256-6683

Email: clinic@midwestmovementelkhorn.com

Web: midwestmovementelkhorn.com

PART 3: WEBSITE OPT-IN DISCLOSURE LANGUAGE

The following disclosure must appear adjacent to the phone number field on any web form where SMS consent is collected (contact form, new patient intake form, referral form, etc.). The checkbox must be unchecked by default.

REQUIRED WEBSITE DISCLOSURE — place directly below phone field:

☐ By providing your phone number, you consent to receive SMS text messages from Midwest Movement Elkhorn for appointment scheduling, care coordination, and related communications. Message and data rates may apply. Message frequency varies. Reply STOP to opt out at any time. Reply HELP for help. Your mobile number will not be shared with third parties for marketing purposes. View our SMS Terms of Service and Privacy Policy at midwestmovementelkhorn.com/sms-terms. Consent is not a condition of receiving services.

Note: The checkbox must be un-checked by default. Pre-selected checkboxes do not constitute valid TCR opt-in consent and will result in campaign rejection.

PART 4: TCR CAMPAIGN REGISTRATION REFERENCE

Use the following when registering or renewing a 10DLC campaign in The Campaign Registry (TCR) portal or with your SMS provider.

Campaign Use Case

Healthcare

Sub-Use Case

Customer Care / Appointment Reminders

Campaign Description

Midwest Movement Elkhorn is a chiropractic and functional rehabilitation clinic in Elkhorn, Nebraska. We use SMS as a two-way conversational channel to communicate with patients and prospective patients regarding appointment scheduling and reminders, care plan follow-up, home exercise guidance, insurance inquiries, and general clinic communications. Patients opt in via an explicit unchecked checkbox on our website contact form or via signed written consent at intake. All messages include opt-out instructions. Recipients may opt out at any time by replying STOP.

Sample Message #1

Hi [First Name], this is Midwest Movement Elkhorn reminding you of your appointment with Dr. Anson tomorrow at 10am. Reply YES to confirm or call us at (402) 256-6683 to reschedule. Reply STOP to opt out. Msg&Data rates may apply.

Sample Message #2

Hi [First Name], Dr. Clausen wanted to check in after your visit — how is your lower back feeling today? Let us know if you have questions about your home exercises. Reply STOP to opt out.

Sample Message #3

Hi! Yes, we accept BlueCross BlueShield and are in-network with most major insurers. We'd be happy to verify your benefits before your first visit. Just text us your member ID. Reply STOP to opt out. Msg&Data rates may apply.

Contains Embedded Links?

Yes — links to janeapp.com booking and midwestmovementelkhorn.com resources may be included. No URL shorteners used.

Opt-In Method

Explicit unchecked checkbox on website contact/intake form; or signed written consent form at clinic intake

Opt-Out Keywords

STOP, STOPALL, UNSUBSCRIBE, CANCEL, END, QUIT

Help Keywords

HELP, INFO

Age-Gated Content?

Affiliate Marketing?

Direct Lending?

This document was prepared to support TCR/10DLC compliance for Midwest Movement Elkhorn.

Review with legal counsel before publishing. Effective March 25, 2026.