WITHIN THE SCOPE OF THE EUROPEAN UNION GENERAL DATA PROTECTION REGULATION (GDPR)
ADEM EMRE İLHAN
Explicit Consent Form for the Processing of Personal Data
I, the undersigned, hereby acknowledge that Adem Emre has presented to me the Information Notice for Recipients of Services (the “Information Notice”). Through the Information Notice, I have been informed, in a clear and understandable manner, about the categories and types of personal data that will be processed about me, the purposes for which my personal data will be processed, the recipients or categories of recipients to whom my personal data may be disclosed, the methods by which my personal data are collected and the legal bases for such processing, the identity and contact details of the data controller, and the rights I have as a data subject under the GDPR and how I may exercise these rights.
In addition to the above, I declare that I am aware of my rights as a data subject under the General Data Protection Regulation (GDPR), including, in particular, the rights set out in Articles 12 to 22 GDPR as described in the Information Notice. I understand that, should I wish to exercise any of these rights, or if I have any questions regarding the processing of my personal data or the GDPR, I may contact the clinic using the contact details provided at the end of the Information Notice.
For this purpose, and in accordance with Article 6(1)(a) GDPR,
I consent to Emre İlhan Clinic using my contact details to contact me and to send me information messages (such as SMS, e-mails and telephone calls) about the services provided by Emre İlhan Clinic and about related events, meetings and information activities;
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I agree. |
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I do not agree |
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I hereby declare that I give my explicit consent to the matters I have accepted above freely and of my own free will, without any pressure or coercion, and that my refusal to give this consent will not affect my ability to receive healthcare services from the clinic in any way. As a data subject, I understand that I may withdraw this consent at any time and that, upon such withdrawal, the processing of my personal data based solely on this consent will be brought to an end for the future. I also understand that withdrawing my consent will not affect the lawfulness of any processing carried out on the basis of my consent before its withdrawal.
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