SMS & Email Consent

(a) Gate Form Checkbox Text (two separate, unbundled checkboxes)

Email consent checkbox (unchecked by default):

• I agree to receive marketing and informational emails from Randolph Health Services about Health Compass products and related services. I can unsubscribe at any time using the link in any email. See the [Privacy Policy].

SMS consent checkbox (unchecked by default):

• I authorize Randolph Health Services and its representatives to send me marketing and follow-up text messages — including messages sent using automated technology — at the mobile number I provided above. I understand that consent is not a condition of any purchase, that message and data rates may apply, and that message frequency varies. Reply STOP to opt out or HELP for help. See the [Privacy Policy] and [Terms of Use].

(b) SMS Footer Compliance Block

Text messages are sent by Randolph Health Services. Msg & data rates may apply. Msg frequency varies. Reply STOP to cancel, HELP for help. Consent is not a condition of purchase. Carriers are not liable for delayed or undelivered messages. Privacy Policy: [PRIVACY_POLICY_URL] | Terms: [TERMS_URL]

(c) Data-Sharing Disclosure Line (displayed above the submit button)

By submitting this form, you agree that your information may be shared with Health Compass Inc., the product provider, for enrollment and attribution purposes — see our [Privacy Policy].