Text Messages

By signing this form, I authorize Preferred Home Care of New York to send text messages to my cell phone to alert me of available case opportunities, Timesheet links, HR matters, Compliance matters or any other company news related messages. I understand that standard text messaging, data and phone rates may apply to any messages received from PHCNY and that PHCNY is not responsible for payment of those fees. I understand that I may remove this permission in writing at any time. I further agree that in the event my cell phone number changes, I will inform HR department accordingly.

I accept and DO want to receive text messages. (Please confirm cell phone number and sign)
I decline and DO NOT want to receive text messages. (Please sign below)

Cell Phone #:

Is this your primary phone? Yes No

Employee Signature:

E-mail Messages

By signing this form, I authorize Preferred Home Care of New York to send e-mails to alert me of available scheduling opportunities, Timesheet links, HR matters, Compliance matters or any other company news related messages. I understand that I may remove this permission in writing at any time. I further agree that in the event my e-mail address changes, I will inform HR department accordingly.

I accept and DO want to receive e-mails. (Please confirm e-mail address and sign and date below.)
I decline and DO NOT want to receive e-mails. (Please sign and date below.)

E-mail Address:

Is this your primary e-mail? Yes No

Employee Signature: