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Authorization to Contact You

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By accepting this authorization, I hereby authorize Thrifty White Pharmacy to contact me by mail, email, text message or telephone using the contact information I provided in this form, online, or in-store; including automated interactive voice response calls, auto-dialed and pre-recorded calls and text messages about Thrifty White Pharmacy Services for which I may qualify, including: COVID-19, flu, shingles and other vaccinations reminders; Rx Med Sync and Ready Refill; Health Risk Assessments and Chronic Care Management; Medicare Open Enrollment Plan Reviews; Thrifty White at Home services, Medication Therapy Management Services, Targeted Medication Reviews, and Comprehensive Medication Reviews; Point of Care Testing; Transitions of Care; Specialty Services; Medication Adherence and Medication Consulting; Thrifty White Health Essentials- shop.thriftywhite.com, products and promotional email communications; as well as other services or programs offered by Thrifty White Pharmacy for which I may qualify.

I understand that signing this authorization is voluntary and not a condition of my treatment at Thrifty White Pharmacy, and that I have the right to 'opt out' of receiving such communication by contacting my local Thrifty White Pharmacy or following the prompts on any future call, email or text message. I also understand that should my telephone number, address, or email address change, I will notify Thrifty White Pharmacy with updated contact information. I understand that message and data rates may apply.

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