By submitting this form I, (Client/Guardian) consent to receive text messages or emails from Veronica Sandoval (the “Provider”) and Mind Simplicity, PLLC (practice) on my cell phone/numbers provided or other devices. I understand that standard text messaging rates may apply. I understand that I may revoke my request for further communications via text or email at any time by notifying the Provider in writing. Because e-mails sent over the Internet or texts sent over the control channel without encryption are not secure, I understand the risks associated with e-mail and text messaging.