EVV

A: P.O. Box 464, Erie, CO 80516

P: 720-679-0020

F: 888-884-4541

Email: contact@alpinetherapyservices.com

NOTICE: By providing my phone number to 'Alpine Therapy Services, LLC', I agree and acknowledge that 'Alpine Therapy Services, LLC' may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to Opt-out by replying “STOP. No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. All the above categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.