Illumination Text
PERSONAL DATA INFORMATION AND CONSENT TEXT
As Dr. Hakan Güney, in order to provide you with the services I will provide, we may need to learn your personal information and health data and record and store them within the limits required by the service to be provided.
Your health data, which we have to record in order to provide you with health services, is considered as special personal data by law. In this context, according to the provision of Article 6, Paragraph 2 of the Personal Data Protection Law No. 6698, ‘It is prohibited to process special personal data without the explicit consent of the person concerned.’ Since personal health data can only be recorded with the explicit written consent of the person, except for the special conditions specified in the law, it has become mandatory to obtain this consent from you.
INFORMATION TEXT
This consent covers your personal data that you provide to us verbally, in writing, visually or electronically during our examination, and your personal data that you transmit to us electronically via the internet and mobile applications or obtained in our office (analysis results, prescription, photo, video, camera recording, etc.).
In this sense, personal health data required for the execution of the services we will provide to you and obtained for this purpose, your name, surname, TR identity number, (your passport number or temporary TR identity number if you are not a Turkish citizen), identity data such as place and date of birth, marital status, gender information and various identity documents, contact data such as your address, telephone number, e-mail address, financial data such as your bank account number, IBAN number, your medical history in your clinical file, information indicating your disease history, examination data, data regarding the procedures applied to you, your prescription information, your photographs, all kinds of images, voice/camera recordings, laboratory and imaging results, data regarding health and sexual life obtained during the execution of medical diagnosis, treatment and care services such as your test results, data regarding private health insurance and Social Security Institution data, etc. are considered as personal data.
This personal data will be recorded only to the extent required by the health service to be provided to you within the framework of the Personal Data Protection Law No. 6698 and the relevant legislation and will be stored in our system/archive '...for a period not exceeding the period required to achieve the purposes of recording'. Within this scope, your processed data will be protected as professional secret, its confidentiality will be ensured and will not be shared with third parties/institutions/organizations.
However, we would like to remind you that in cases where the confidentiality of personal medical records must be limited to protect public health, such as the obligation to report infectious diseases to the competent authorities regulated in Article 58 of the Public Health Law No. 1593, or in cases of legal obligation such as the obligation to report a crime, it may be necessary to report to the competent authorities only in a limited and proportionate manner.
Requests from public institutions, judicial authorities and other official authorities to transmit your data will be evaluated in terms of the purpose of the request, whether the requested data coincides with the purpose to be achieved, whether it can be stated concretely, whether the only way to achieve the stated purpose is to transmit your data without anonymization, and whether data transmission is necessary in a democratic society. Data transmission requests that do not meet all of these elements will not be fulfilled.
Regarding your data recorded by us, primarily the Convention for the Protection of Individuals with regard to Automatic Processing of Personal Data (Council of Europe Convention No. 108), Article 8 of the European Convention on Human Rights, Article 20 of the Constitution, Law No. 6698 on the Protection of Personal Data:
• To learn whether your personal data has been processed, the scope of your processed data,
• To obtain information about your personal data if it has been processed, to access and obtain samples from this data,
• To learn the purpose of processing your personal data and whether it is used in accordance with its purpose, whether it has been transferred to a third party person or institution in the country or abroad, to request that the changes in your personal data be notified to the person or institution with whom the data is shared,
• To request correction of your personal data if it is processed incompletely or incorrectly, (You can exercise this right by applying in person or in writing to our office address at Çamlaraltı mah. 6012 sok. No:18 K:2 D:4 Pamukkale / DENİZLİ or by sending an e-mail to info@drhakanguney.com We have been informed that our e-mail address can be used with a request sent from the personal e-mail address of the data owner specified below. )
• We request that some of your data be hidden, deleted or You have the right to request its destruction.
DECLARATION OF CONSENT
I have read and understood the Personal Data Information and Consent Text prepared by Dr. Hakan Güney, and I have also been given verbal information on the subject,
I have been informed about the purposes of processing my personal data, collection methods and legal reasons, my rights regarding the protection of my personal data, mandatory cases where my data can be transferred, data security and my application rights, which are detailed in the Personal Data Information and Consent text,
I agree that all my personal data, including my health data, will be recorded, stored and shared in the mandatory cases listed by Dr. Hakan Güney and his employees within the framework of the above principles,
In addition, my data will be shared with my colleagues by my doctor for consultation purposes in cases where my medical diagnosis and treatment requires it or with product supplier companies when a special product needs to be purchased for me, in a limited manner,
In addition, I agree that Dr. I AGREE WITH MY EXPLICIT CONSENT that Hakan Güney and his employees can reach me via mobile devices (my phone: ……………………………...), via the internet (my e-mail address: ……………………………………..) or via mail to my address (my address: ……………………………………………………….. etc.).
*You may request that a copy of the form be given to you in accordance with the Patient Rights Regulation.
Patient Name Surname …………………………………………………
Signature: …Date: ……./……./………Time: ….. Write “I understand what I read” in your own handwriting: ……………………………………
If the patient is under 18 years of age or unconscious:
Patient Relative Name Surname: ………………………………………..
Signature: …Date: ……./……./………Time: ….. Degree of Relation: …………………………..
Your own handwriting Write “I understand what I read” with:…………………………………………
INTERPRETER IF AVAILABLE (If the patient has a language/communication problem)
In my opinion, the information I translated was understood by the patient/relative.
Translator’s Name and Surname:……………………….……. Signature: …………Date: …../……./……… Time:……
