Autorización para mensajes de texto (Text Message Consent) – Multnomah County

The Autorización para mensajes de texto (Text Message Consent) is a Multnomah County consent form in which a client or guardian confirms they understand the risks of text messaging with the county and accept the conditions that go with it.

The PDF is headed Formulario de consentimiento para mensajes de texto del cliente / Client Text Messaging Consent Form and carries the code BHD 05.01.22 at the foot of its pages. It has three parts:

• Risks of using text messages. Texts are not encrypted, can be forwarded, stored or received by unintended recipients, can be sent to the wrong person by mistake, may survive as backup copies after deletion, can be inspected by an employer when sent over an employer's phone, can be used as court evidence and can be subject to public records requests.
• Conditions for using text messages. Among them: texting is not suitable for life-threatening emergencies, behavioral health staff must not send protected health information by text, and the client must tell the county in writing about a new cell number or about no longer wanting texts.
• Client acknowledgment and acceptance. The signer states that they have read and fully understand the information and accept the conditions, and understands that the county may add other conditions in the future.

The form is written in Spanish with an English title. The county's New Client Forms page lists a Text Message Consent form in English and in Simplified Chinese and Korean, next to the Consent for Treatment, Release of Information and Email Consent forms. This form is a text messaging consent for county clients; it is not a tax document of any kind.

Clients of Multnomah County services who will exchange text messages with the county are the people this form is written for. The signature line reads "Firma del cliente / tutor" (client / guardian), and the email address and cell number lines are for the client or guardian, so a guardian may complete it for the client.

The county's New Client Forms page places the Text Message Consent form among the documents to complete and sign before a first visit. The form itself does not say that every client must sign it.

Before you sign, check the conditions it sets out:

• Texting is not suitable for emergencies that put life at risk.
• Behavioral health staff must not send protected health information by text.
• You should avoid sending personal information to the county by text.
• You should avoid using your employer's cell phone for texts with the county.
• You are responsible for protecting your cell phone or other means of access to the messages.

This is not a property tax form and has no connection to Multnomah County property tax filings.

The county's New Client Forms page asks you to complete and sign its new client forms, which include the Text Message Consent form, before your first visit. The form prints no separate due date.

After you sign, two written notices can follow. The conditions require you to tell Multnomah County in writing when your cell phone number changes. They also require you to notify the county in writing when you no longer want to receive text messages from it.

The acknowledgment adds that the county may impose other conditions on text messaging in the future. The printed revision code is BHD 05.01.22.

Form BHD 05.01.22 prints no mailing address, portal, fax number or email for returning it. The county's New Client Forms page tells you to complete and sign these forms before your first visit, and to contact the county for documents in another language. Return the signed form the way the county or the BHD staff member for your program tells you; the last block of the form has lines for the BHD staff member's name and the BHD program. Any later change of cell number, or a decision to stop receiving texts, must be given to the county in writing. FillingPDF lets you fill out and download the PDF; submission follows the channels the county gives you.