For CRNAs completing onboarding: Print this form, complete it by hand, and return the signed copy to your anesthesia director. A digital signature workflow is also available; contact your anesthesia director for the e-signature link.
KMS Anesthesia Staffing LLC
SMS Communications Consent Form
Prior Express Written Consent for Scheduling-Related Text Messages
1. Program
I understand that I am being enrolled in the KMS Anesthesia Staffing Scheduling Notifications program. Messages are sent by KMS Anesthesia Staffing LLC ("KMS") on behalf of the partner hospital anesthesia department where I accept case assignments.
2. Message Types I Will Receive
- Daily operating-room (OR) assignments with start times and case notes
- Schedule changes and updates after the initial daily publish
- Confirmations when I am voluntarily released from a scheduled shift
- Operational questions from the anesthesia director (e.g., shift-coverage requests)
Messages are strictly operational. I will not receive marketing, advertising, or promotional messages under this program.
3. Message Format
Messages identify both the partner hospital (as the operational sender) and KMS (as the platform delivering the message), in the format: "[Hospital Name] (via KMS): [assignment details]".
4. Frequency, Rates, and Opt-Out
I understand and agree that:
- Message frequency varies with my schedule — typically 1–5 messages per scheduled workday
- Message and data rates may apply, per my mobile carrier's standard rates
- I may opt out at any time by replying STOP to any message
- I may reply HELP to any message for assistance
- Consent to receive SMS is not a condition of employment or contracting with KMS or any partner hospital
5. Privacy
My mobile number and SMS opt-in data will not be shared with third parties for marketing or promotional purposes. Full details are described in the KMS Privacy Policy and the SMS Terms & Conditions.