SMS Text Messaging Reminders We are now able to send you a reminder of your appointment by text message to your mobile phone. If you are interested in this, please complete the below form. Name * First Name Last Name Address * Street Address Street Address Line 2 City State / Province Postal / Zip Code Mobile Tel: * Date of birth * - Day - Month Year Date This is to confirm that I give consent for Washingborough Surgery to send textmessages to my mobile phone.I am aware that if I change my mobile phone number, it is my responsibility to informthe surgery. * I confirm to give my consent Submit Should be Empty: