12/05/2026
SMS TEXT MESSAGE CONSENT FORM
South Skye Medical Practice would like to offer you the ability to receive Text Message Reminders for your appointments booked at the surgery. We will also be sending invitations for
health screening appointments via this service. This service is currently only available to anyone over the age of 16.
The SMS services should not be solely relied upon, as the responsibility of attending and cancelling appointments still rests with you, but we hope this will make things easier.
Messages are generated by a NHS secure service, however they are transmitted over a public network to a personal phone.
The Practice will never transmit any information that would enable an individual patient to be identified. Your mobile phone number will only be used by the Practice and will not be passed to any other parties.
Having your most up to date mobile number recorded with us is essential and it is your responsibility to change/update it if it is no longer in use.
If you choose not to consent for this service we will record a declined entry in your records. You can at any
time choose to change your mind for this service in the future.
If you do not contact the practice will presume that you consent to the Practice contacting you by text message for the purpose of health screening, vaccination information and appointment reminders and will ensure that you will keep the
Practice informed of your up to date mobile number at all times, or if the number is no longer in your possession.
If you do not wish to consent please complete the following form
□ I do not wish to consent for the SMS text messaging service.
PATIENT NAME:
DATE OF BIRTH:
MOBILE NUMBER:
SIGNATURE:
TODAY’S DATE:
PLEASE RETURN THIS FORM TO US FOR PROCESSING. THANK YOU
You can choose to copy and paste this form into an email and send to nhsh.gp56523-reception@nhs.scot or copy and paste into word and print off a copy to hand into Sleat or Broadford surgery
Thank you!
