By opting into our communications, you agree to the following terms:
Consent to Communications
By providing your phone number and opting in, you hereby consent to receive communications from Xterra Health through:
• Emails
• Autodialed and/or pre-recorded calls
• AI-generated calls
• Text messages (including SMS and MMS)
These communications may be sent from or on behalf of Xterra Health to the telephone number you provided, including your wireless number, if applicable.
⚠ Important: You understand that providing this consent is not a condition of purchase.
Types of Communications
You may receive the following types of communications:
• Transactional messages: VA Nexus Letter order confirmations, appointment scheduling, case status updates, and service-related account notifications
• Informational messages: Service announcements, missed call alerts, and important updates related to your Nexus Letter request
⚠ Xterra Health does not send marketing or promotional messages. All SMS communications are strictly transactional and service-related.
Message Frequency
The frequency of messages from Xterra Health may vary depending on your interaction with our services. You may receive messages based on your activity and the status of your VA Nexus Letter request.
Standard message and data rates may apply to any text messages.
Third-Party Communication
We do not share your phone number or SMS consent with third parties for marketing or promotional purposes. No mobile information will be shared with third parties/affiliates for marketing/promotional purposes. Information sharing to subcontractors in support services, such as customer service, is permitted. All other use case categories exclude text messaging originator opt-in data and consent; this information will not be shared with any third parties.
Opt-Out Options
You may withdraw your consent and stop receiving messages at any time by:
1. Replying STOP (or STOPALL, UNSUBSCRIBE, CANCEL, END, or QUIT) to any text message you receive from us
2. Emailing us at: [email protected]
3. Calling us at: (220) 270-6090
After you opt out, you will receive one final confirmation message. You will then no longer receive messages from us unless you opt back in.
Help and Support
For help or assistance with our messaging program:
• Reply HELP to any text message you receive from us
• Email: [email protected]
• Phone: (220) 270-6090
Sender Identification
All messages will clearly identify Xterra Health as the sender.
Message Delivery
We make reasonable efforts to deliver messages promptly, but cannot guarantee delivery times.
"Carriers are not liable for delayed or undelivered messages."
Your Responsibilities
By opting in, you confirm that:
• You are the authorized user of the phone number provided
• The phone number you provided is accurate and current
• You are at least 18 years old or have parental/guardian consent
Privacy Policy
Your information will be used in accordance with our Privacy Policy (https://xterrahealth.org/privacy-policy), which outlines how we collect, use, share, and protect your personal data. We encourage you to review the policy to understand your rights and how we handle your information.
Changes to Terms
We reserve the right to modify or update these terms at any time. When we make changes:
• We will update the "Effective Date" at the top of these terms
• We may notify you of material changes via email, SMS, or our website
• Continued participation in our communication program following any changes will constitute your acceptance of those changes
Acknowledgment
By providing your phone number and opting in, you acknowledge that:
• You have read and agree to these SMS and Communication Terms
• You understand you can opt out at any time by texting STOP
• You consent to receive automated messages at the number provided
• You understand that consent is not required to purchase our services
Contact Us
Xterra Health
Email: [email protected]
Phone: (220) 270-6090
Address: 150 S Broadway Ave, Salem OH 44460
Last Updated: 01-04-2026

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The information and opinions provided by Xterra Health on this website are for informational purposes only and do not create a physician-patient relationship. No medical diagnosis, advice, or treatment is rendered through this website. Any professional opinion offered is based solely on the records and information provided to Xterra Health. This content is not a substitute for in-person medical evaluation, diagnosis, or treatment by a qualified health care professional.
If you have a medical concern or are experiencing a medical emergency, seek prompt care from your health care provider or local emergency services