DENTAFORUM TİVİ HİZMETLERİ TURİZM ÖZEL SAĞLIK HİZMETLERİ

SANAYİ ve TİCARET ANONİM ŞİRKETİ

PATIENT AND PATIENT PARENTS/GUARDIANS/REPRESENTATIVES EXPLICIT CONSENT TEXT

This explicit consent text has been presented to you after you have been informed. Please make sure that you have read the information text first and that you have approved this text with your free will.

After giving your explicit consent to the processing of personal data in this text, you can withdraw your explicit consent at any time. We care about and protect your personal data.

Explicit consent refers to consent based on information and expressed with free will regarding a specific subject, and this explicit consent text includes information on the specific subjects specified below, and we would like to remind you that you are free to approve or not approve this text.

Within the scope of Articles 5 and 6 of the Law on the Protection of Personal Data No. 6698, you have read in the “Patient and Patient Parent/Guardian/Representative Information Text” which personal data we process based on legal reasons arising from the law and without your explicit consent.

As Dentaforum Tedavi Hizmetleri Turizm Özel Sağlık Hizmetleri Sanayi ve Ticaret Anonim Şirketi (Dentaforum), which has the title of data controller under the Law on the Protection of Personal Data No. 6698; except for the cases that fall under the exception within the scope of the Personal Data Protection legislation (6698/Art. 5-6) due to you being our patient, we request your explicit consent regarding the following matters within the scope of the processing of your personal data.

To process, store, transfer to real persons and private legal entities my communication, identity, legal process, customer process, physical space security, transaction security, finance, visual and audio records and health information for the purposes of conducting marketing processes of products / services, conducting communication activities, sending promotional SMS and making phone calls,

To store my personal data and special personal data by you,

I consent with my free will,

I accept ☐

I do not accept ☐

Data Owner

Name Surname

Date

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