Consent Form for the Processing of Personal Data

Physician: Dr Elad Azizli

Protection and processing of your personal data shared by the physician within the scope of all health services including examination, diagnosis-treatment, surgery and all kinds of personal information obtained as a result of health services will be carried out within the scope of the Personal Data Protection Law No. 6698 and the relevant legislation. Your personal data that you share with the physician will be processed as specified in this Consent Form for the Processing of Personal Data

Within the scope of this Consent Form and Law No. 6698, “Personal Data” (any information relating to an identified or identifiable natural person) shall mean all kinds of current information, including your identity information, TR ID number, patient interview form, information in the consent form. This information may be collected verbally, audibly, in writing and electronically by the physician and his/her employees or relevant health institutions.

Your personal data will be processed, recorded, stored, stored, maintained, updated when necessary, shared, transferred by the physician who has the title of “Data Controller” as defined in Law No. 6698, and in this context, we inform you that any action to be taken on Personal Data by the physician and his employees and health institutions and other relevant persons will be accepted as the processing of personal data.

In order to evaluate and share the visual records of the preoperative and postoperative visual records, which do not contain the identity information of the personal data owner, in order to evaluate and share patient satisfaction, the physician may store and process them for use in written, audio, visual press publications, internet, website, e-mail, message, forum and all digital communication tools such as facebook, instagram, twitter and all social media applications such as facebook, instagram, twitter.

Within the framework of all these explanations, I hereby acknowledge that I have read and understood this information and consent form and accept the following declaration made in this way. In accordance with the Law No. 6698 on the Protection of Personal Data; obtaining, recording, storing, changing, updating, periodically checking, rearranging, classifying my personal and / or special quality personal data in whole or in part, saving, storing, changing, updating, periodically checking, rearranging, classifying, keeping them for the period required for the purpose for which they are processed or for the period stipulated in the relevant law, sharing them with the physician and the persons he works with or the health institutions and organisations he is legally obliged to share in case of legal or service-related actual requirements, sharing visual records without containing identity information in digital communication tools and social media applications; I hereby consent to the transfer of my personal information, both transferred by me and learnt within the scope of health service, to the relevant physician and his/her employees by having information about the subject in a way that does not leave any room for hesitation.

“Personal Data Owner” Name and Surname of the Patient:

History:

Signature: