SMS Terms & Conditions

SMS program terms for Alto Practice, the secure messaging platform used by healthcare practices. Includes opt-in, opt-out (STOP), HELP, message types, and consent requirements.

Last updated: August 17, 2026

1. Program Overview

Alto Practice is a secure cloud-based Electronic Health Record (EHR), patient portal, practice management, and communications platform used by licensed healthcare professionals. Alto Practice provides the messaging infrastructure through which participating healthcare practices send transactional and healthcare-related text messages to patients who have provided affirmative, documented consent.

Alto Practice is not a healthcare provider and does not provide medical care, medical advice, or treatment. Every SMS is sent by Alto Practice and identifies the participating healthcare practice in the message body (for example, "Alto Practice: Reminder — you have an appointment tomorrow with [Practice Name]…").

This program is used only for transactional and administrative healthcare communications. Alto Practice does not use this messaging campaign for promotional, advertising, or unrelated marketing SMS.

Message types may include appointment reminders and confirmations, appointment changes, billing notifications, payment confirmations, secure portal notifications, document and form reminders, and other administrative healthcare communications.

2. How Messaging Works

When you opt in, you agree to receive text messages through the Alto Practice platform from your healthcare provider. SMS consent is optional, separate from acceptance of our Privacy Policy or Terms of Service, and is not required to receive healthcare services or portal access.

Message frequency varies. Message and data rates may apply according to your mobile carrier plan.

3. Consent Is Voluntary — Not Required for Care

Consent to receive text messages is not a condition of receiving healthcare services, treatment, or access to the patient portal. You may decline SMS notifications and still receive care.

4. Where Do I Sign Up to Receive SMS Messages?

SMS enrollment requires affirmative action after you review the current SMS disclosure. Opt-in controls default to off or unchecked.

Staff intake — phone number collection

When practice staff collect a patient's mobile number during intake, SMS consent is presented on the same screen as the phone field. The SMS toggle defaults to off.

Staff new patient intake form showing phone number field with SMS toggle off — Figure A — Staff intake: mobile number collected with SMS default off on the same form.

Electronic onboarding — phone number collection

During secure electronic onboarding, patients enter their mobile number on the contact information step. The full SMS disclosure, Privacy Policy and Terms links, and an unchecked consent checkbox appear on that same step.

Electronic onboarding contact step with phone field, SMS disclosure, and unchecked consent checkbox — Figure B — Electronic onboarding: phone collection and SMS disclosure on the same step (unchecked by default).

Patient portal — Communication Preferences

After signing in to the secure patient portal, open Profile → Communication Preferences. If SMS is off, tap Enable text messages, review the disclosure, check the consent box, and confirm opt-in.

5. How to Opt Out

Patient portal

Reply STOP

Text STOP to any message. Also recognized: STOPALL, UNSUBSCRIBE, CANCEL, END, QUIT.

Replying STOP immediately disables recurring SMS and updates your consent record.

Consent history showing STOP keyword opt-out recorded — Figure E — STOP keyword opt-out recorded in consent history.

6. HELP Instructions

For assistance with text messages, reply HELP (or INFO) to any message in this program. You will receive an automated response with your healthcare provider's support contact information and instructions to reply STOP to unsubscribe.

Platform support (not clinical care): support@altopractice.com

7. Privacy

Mobile phone numbers and SMS opt-in data are used only to provide requested messaging services and are never sold. SMS consent is never shared with third parties or affiliates for marketing purposes. See our Privacy Policy.

8. Sample Messages

"Alto Practice: Reminder — you have an appointment tomorrow with [Practice Name]. Check email for time and details. Reply STOP to opt out."
"Alto Practice: A document is awaiting your review in the secure patient portal for [Practice Name]. Reply STOP to opt out."
"Alto Practice: For assistance with messages from [Practice Name], contact [practice phone] or [practice email]. Reply STOP to unsubscribe. Message and data rates may apply."

Quick Reference for Carriers and Regulators

Sender: Alto Practice (healthcare practice named in message body)
Program type: Transactional / healthcare administrative (not marketing)
Each message identifies the participating healthcare practice in the body
Opt-in: Affirmative consent only; defaults off/unchecked
Opt-out: STOP keywords or patient portal toggle
Help: Reply HELP or INFO
Message frequency varies; message and data rates may apply
Consent is not a condition of receiving healthcare services

Contact

Platform support: support@altopractice.com
Privacy: privacy@altopractice.com
Website: altopractice.com