DR BURAK PASİNLİOĞLU
REGARDING THE PROCESSING OF PERSONAL DATA
EXPRESS CONSENT STATEMENT OF CUSTOMER CANDIDATE
I have read the Clarification Text on the Processing of Patient and Patient Relative Personal Data and within this scope: My personal data will be kept, transferred, collected, recorded, processed and stored within the framework of the principles of the law by the data controller and data processors, as explained in detail in the Clarification Text. I accept, declare and undertake that I give permission. In accordance with the “Personal Data Protection Law No. 6698” and the “Regulation on Processing and Ensuring the Privacy of Personal Health Data”, my personal data, special personal data, health data, including those that determine or serve to determine my identity given by me verbally / in writing and / or electronically. Processing, storing and sharing of all kinds of personal data, special personal data, personal health data and data processors; I accept that I consent to the processing and sharing of my personal data, special personal data, health data within the scope of the “Personal Data Protection Law No. 6698” and the “Regulation on Processing and Ensuring the Privacy of Personal Health Data”, the details of which are given below, I declare and undertake.
Identity data, contact data, financial data, health data, biometric data, visual/audio data, signature data, professional data, education data, work data, family and relative data, legal transaction data and related information, the details of which are included in the Clinical Patient Information Text. Being fully informed about how my personal data and my dependents’ personal data will be processed within the scope of the mentioned scope, including but not limited to personal and special personal data; My personal and special personal data will be processed and T.R. I know that it will be transferred to the Ministry of Health, institutions and organizations affiliated to the Ministry of Health, special information management systems, and management systems affiliated to the Ministry of Health. I also know that it will be processed for the purposes of creating and following appointments, planning and management of health services and financing, carrying out storage and archive activities, tracking requests/complaints, carrying out medical diagnosis, treatment and care services, and providing information to authorized persons, institutions and organizations, and I accept, declare and I promise.
I hereby consent to the processing, storage, transfer and collection, recording, processing and storage of my above-mentioned personal and special personal data by its employees within the framework of the principles of the law.
I approve the transfer to your domestic and foreign suppliers (e.g., certified public accountants and legal advisors, information technologies, service providers, institutions from which porter service is received) in a limited manner related to the services they provide to your clinic.
In order to get a second opinion in the diagnosis and treatment of my health condition, I hereby consent to the transfer of my identity information, visual and health data to health institutions and organizations in the country or abroad with which you cooperate and provide expert opinion.
When my private insurance company or an intermediary institution authorized by my private insurance company or complementary insurance companies or contracted institutions wishes to access my medical information and/or during the provisioning and billing processes of the health services I receive from your polyclinic/office, my health data may be disclosed to the private insurance company, complementary insurance companies or contracted institutions. Knowing that the transfer is mandatory for me to benefit from private health and complementary health insurance and to pay my treatment expenses, I consent to the transfer of my personal health data and its employees to my private insurance company, complementary health insurance company or intermediary institution authorized by my private insurance company for these purposes.
I hereby consent to the processing of my medical photographs to be taken by the physician during the application, along with my personal data shared above, and to the taking or recording, storing and processing of photographs during the intervention/treatment to be applied to me.
If I approve the consultation/examination/test to healthcare institutions, doctors and healthcare personnel located abroad from which consultation/laboratory services are received, I hereby consent to the transfer of the medical consultation/examination/test limited to its provision.
Explicit Consent for the Transfer of Special Personal Data to Patient Family Members and Other Persons Approved by medical necessity, cases where transfer is mandatory by court decision, in accordance with the provisions of the relevant legislation, especially the Personal Data Protection Law No. 6698, the Patient Rights Regulation, the Regulation on Personal Health Data. (e.g. the Ministry of Health of the Republic of Turkey, the Social Security Institution of the Republic of Turkey, the courts, the institutions to which patient is transferred / transferred, the hospital / patient information management system companies), as well as to my family members / relatives, companions, attorney or legal representative and other third parties I have given permission to, below. I consent to the transfer of my health data (e.g. analysis results, test information, appointment information, general information about my health condition) to people.
Rights of the Relevant Person (Data Owners)
Although the detailed explanation on this subject is available at “https://www.burakpasinlioglu.com/tr/kvkk”, you can submit your requests within the scope of Article 11 of the law, which regulates the rights of the relevant person, in accordance with the “Communiqué on the Procedures and Principles of Application to the Data Controller” at our company headquarters address. Harbiye Mah. Mim Kemal Öke Cad. Erenler Apt. No:12/1 Şişli İstanbul” or to the registered electronic mail (KEP) address “[email protected]”.
