NEW PATIENT INTAKE FORM

Terms and Conditions - Effective Date: September 14, 2026

By opting in to receive SMS messages from Lusk Services PC dba Chit Chat Therapy (“we,” “us,” “our”), you agree to these Terms and Conditions (Terms).

SMS Messaging Service

By providing my phone number, I consent to receive SMS text messages from Lusk Services PC dba Chit Chat Therapy for conversational messages. Message and Data Rates may apply.

Message Frequency

You will get more than one message from us unless you opt-out, and while messaging frequency varies, you will likely receive one message per week. Chit Chat Therapy reserves the right to alter the frequency of messages at any time to increase or decrease the total number of messages. Lusk Services PC dba Chit Chat Therapy and carriers are not liable for delays or undelivered messages.

Message and Data Rates

Message and data rates may apply based on your mobile carrier’s terms.

Your information will be handled in accordance with our Privacy Policy below.

Cancellation/Opt-Out Instructions

You can opt out of receiving SMS messages at any time by replying STOP to any message we send you. After you opt out of text messaging, you will receive one additional message confirming your request has been processed.

Help/Customer Support

Text the word HELP for support. You may also contact us directly at info@chitchattherapyil.com

Liability

We are not responsible for any charges, errors, or delays in SMS delivery or undelivered messages caused by your carrier or third-party service providers.

Consumer Data Sharing and Transfer

Your data will not be transferred to external organizations except when strictly necessary for service delivery or legal compliance.
Any permitted transfer is not for marketing or any unrelated purpose.
Unauthorized sharing of consumer data is strictly prohibited.
This prohibition includes phone numbers and SMS consent data.

Messaging Privacy Policy - Effective Date: September 14, 2026

By providing your mobile number to Lusk Services PC, you agree to receive conversational messages from us.

Message frequency: Message frequency may vary. On average, 1-2 messages per month.
Opt-out: Reply STOP to unsubscribe at any time.
Help: Reply HELP for assistance.
Rates: Message and data rates may apply.
Privacy Policy: https://www.chitchattherapyil.com/intake-form
Terms and Conditions: https://www.chitchattherapyil.com/intake-form

SMS Registration Data
We prohibit the transfer of SMS registration data, including phone numbers and consent records, to any external organizations under any circumstances, except where directly required by law.

Your phone number and SMS consent records are treated as protected registration data.
Your data will not be transferred to external organizations.
The only exception is where disclosure is directly required by law.