Dr. Dilek Şire Eren Explicit Consent Form

Under the Turkish Law on the Protection of Personal Data (“KVKK”) No. 6698, I hereby give my explicit consent for the processing of my personal data by Dr. Dilek Şire Eren within the scope described below.

1. Collection, Processing, and Purposes of Processing Personal Data:

My personal data, including my health data, may be collected and processed by Dr. Dilek Şire Eren for purposes such as conducting health services, planning and managing diagnosis and treatment services, measuring my satisfaction with health services, receiving my suggestions and complaints, conducting surveys, and carrying out informational activities.

2. Transfer of Personal Data:

I give my explicit consent for my personal data, including my health data, to be transferred for the purposes mentioned above to contracted institutions and organizations, the ministry of health and other public institutions and organizations, private insurance companies, group companies and business partners both in and outside of Turkey, suppliers, auditors, and authorized institutions and organizations due to our legal or contractual obligations.

3. Rights of the Personal Data Subject:

Under Article 11 of the KVKK, I have the right to make a request to the data controller regarding my personal data to;

  • Learn whether or not it has been processed,
  • Request information if it has been processed,
  • Learn the purpose of the processing and whether it is used in accordance with its purpose,
  • Know the third parties to whom it has been transferred domestically or abroad,
  • Request rectification if it has been processed incompletely or inaccurately,
  • Request deletion or destruction within the framework of the conditions set forth in Article 7 of the KVKK,
  • Request notification of the operations carried out in compliance with subclauses (d) and (e) to third parties to whom it has been transferred,
  • Object to any result against me due to analysis through exclusively automated systems,
  • Request compensation for the damages in case I incur damages due to unlawful processing.

I have read and understood this information and explicit consent text, and declare my explicit consent to the processing and transferring of my personal data for the purposes specified above.

Data Subject’s Name Surname: _______________

Signature: _______________

Date: _______________