Appointment Form Privacy Notice

[To be completed by the clinic]. Address: [To be completed by the clinic].

Identity and contact: name, phone, e-mail. Appointment details: the department, doctor, date and time you choose, whether you have visited before, and any note you add.

Health data (special-category personal data): the information you write in the “complaint” field and any health information you share in your notes.

To assess your appointment request, plan a suitable time for the department and doctor you chose, contact you to confirm or change it, and prepare for your appointment.

Your data is collected through the electronic appointment form on the website.

Your identity, contact and appointment details are processed on the basis of KVKK Art. 5/2-c, because they are needed to carry out the appointment process on your request.

The health information in the complaint field is processed on the basis of your explicit consent (KVKK Art. 6/3-a) given with the separate checkbox in the form. This consent is limited to assessing your appointment request; it is not given for sharing photos, marketing or any other purpose.

Your data is seen only by the authorised clinic staff and doctors handling the appointment. Infrastructure providers used to deliver the form (data processors) act only for technical delivery and on the clinic's instructions; data may be passed to authorities entitled by law on a legal request. Your data is not sent to analytics or advertising tools.

Your appointment request and the data in it are kept for [To be completed by the clinic]. If an examination takes place, the resulting patient records are kept separately under the obligations in health legislation.

You can withdraw your explicit consent for your health data at any time. Withdrawal affects only later processing; your appointment request may then not be assessable, and the related information is deleted or destroyed. Retention duties arising from legislation are reserved.

Under KVKK Art. 11 you may learn whether your data is processed, request information, request correction, erasure or destruction, know the recipients and claim compensation for damage.

You can send your requests in writing to [To be completed by the clinic]. Requests are answered within thirty days at the latest.