By ticking the box below, you consent to TLGP leaving voicemails containing your medical information on the phone number(s) listed on this Patient Registration Form. This information may include, but is not limited to, demographic information (patient name, date of birth, address, etc.), billing information, and medical information (appointment dates, diagnosis, medications, test results, etc.)
For your security emails sent out by TLGP containing confidential patient data (e.g. clinical information) are encrypted using Egress Software to ensure information can be exchanged securely.
By ticking the box below, you consent to TLGP contacting you by un-encrypted email. Information included in these emails may include, but is not limited to, demographic information (patient name, date of birth, address, etc.), billing information, and medical information (appointment dates, diagnosis, medications, test results, etc.).
