Regarding the Processing of Personal Data

Explicit Consent Form

Dt. Barış Özgür

 

Explicit Consent Form Regarding the Processing of Personal Data

Dt. Barış Özgür (hereinafter referred to as “Barış Özgür”) requests your explicit consent, apart from cases where your personal data specified in detail in the Information Notice on the Processing of Personal Data may be processed and transferred as necessary for the performance of the contract, where it is expressly provided for by law, where it is mandatory for us to fulfill our legal obligations, and for the protection of public health, preventive medicine, medical diagnosis, treatment and care services, and the planning and management of healthcare services and their financing, regarding the following matters:

Collection, Processing, and Purposes of Processing Personal Data
I have been informed through the Information Notice on the Processing of Personal Data that, in order to provide me with high-standard services, my personal data may be obtained verbally, in writing, visually, or electronically depending on the nature of the service provided, via Call Centers, the internet, mobile applications, physical locations, and similar channels. Within this scope, I have been informed that my personal health data, as well as other general and special categories of personal data obtained for the execution of all medical diagnosis, examination, treatment, and care services, are listed below;

  • My name, surname, Turkish ID number, passport number or temporary Turkish ID number if I am a foreign national, place and date of birth, marital status, gender information, and a copy of my ID card or driver’s license,
  • My address, phone number, and email address,
  • My bank account number and IBAN,
  • My laboratory and imaging results, test results, examination data, prescription information, and other health and sexual life data obtained during the execution of medical diagnosis, treatment, and care services,
  • Responses and comments I shared to evaluate your services,
  • Audio and video recordings obtained during my visits to your hospitals through closed-circuit camera systems and recorded phone conversations when I contact your Call Center,
  • Information regarding my private health insurance and Social Security Institution (SGK) records for the financing and planning of healthcare services,
  • My vehicle plate number if I use parking or valet services,
  • Browsing data, IP address, browser information obtained during the use of your website and mobile application, and medical documents, surveys, form data, and location data I voluntarily provide.

I have been informed that the above-mentioned personal and special categories of personal data may be processed for the following purposes:

Protection of public health, preventive medicine, medical diagnosis, treatment, and care services,
Sharing information requested with the Ministry of Health and other public institutions and organizations in accordance with the relevant legislation,

  • Fulfilling legal and regulatory requirements,
  • By Patient Services, Financial Affairs, and Marketing departments, for financing of health services, covering diagnostic and treatment expenses, and sharing requested information with insurance companies within the scope of customer satisfaction,
  • Providing information about my appointment via Call Center and Digital Channels,
  • Verification of my identity by Patient Services, Health Professionals, and Call Center departments,
  • Planning and management of internal operations by Hospital Management,
  • Analysis for the development of healthcare services by Quality, Patient Experience, and Information Systems departments,
  • Training of employees by Human Resources and Quality departments,
  • Monitoring and preventing abuse and unauthorized transactions by Audit and Information Systems departments,
  • Carrying out risk management and quality improvement activities by Quality, Patient Experience, and Information Systems departments,
  • Issuing invoices for the services provided by Patient Services, Financial Affairs, and Marketing departments,
  • Confirming my relationship with institutions contracted with your hospital by Patient Services, Financial Affairs, and Marketing departments,
  • Answering any questions and complaints related to the health services provided to me by Hospital Management, Patient Experience, Patient Rights, and Call Center departments,
  • Taking all necessary technical and administrative measures for data security of your hospital systems and applications by Hospital Management and Information Systems departments,
  • Providing participation in campaigns and information about campaigns, designing and delivering special content, tangible and intangible benefits through Marketing, Media and Communication, and Call Center departments,
  • Ensuring, increasing, and researching patient satisfaction by Hospital Management, Patient Rights, and Patient Experience departments,
  • Carrying out education and training activities by educational institutions in cooperation with the institution. I have been informed in detail that my “Personal and Special Categories of Data” mentioned above may be stored meticulously in physical and electronic archives within Barış Özgür and external service providers in compliance with legislation.

Explicit Consent Form Regarding the Processing of Personal Data

I have been informed in detail that my “Personal and Special Categories of Data” mentioned above may be stored meticulously in physical and electronic archives within Barış Özgür and external service providers in compliance with legislation.

Transfer of Personal Data

My personal data may be shared, within the framework of the Basic Law on Health Services No. 3359, Decree Law No. 663 on the Organization and Duties of the Ministry of Health and Its Affiliates, Law No. 6698 on the Protection of Personal Data, Private Hospitals Regulation, Regulation on the Processing of Personal Health Data and Protection of Privacy, Ministry of Health regulations and other applicable legislation, and for the purposes explained above, with:

  • The Ministry of Health, affiliated sub-units, and family health centers,
  • Private insurance companies (health, pension, life insurance, etc.),
  • The Social Security Institution,
  • The General Directorate of Security and other law enforcement agencies,
  • The General Directorate of Population and Citizenship Affairs,
  • The Turkish Pharmacists’ Association,
  • Judicial authorities,
  • Laboratories, medical centers, ambulances, medical devices, and healthcare institutions located domestically or abroad, in cooperation with Barış Özgür for medical diagnosis and treatment,
  • Other healthcare institutions to which I am referred or where I apply independently,
  • My authorized legal representatives,
  • Third-party consultants including lawyers, tax advisors, and auditors you work with,
  • Regulatory and supervisory institutions and official authorities,
  • Domestic or international systems and/or companies within the group to which your hospital is affiliated,
  • My employer, if billing is to be made to them,
  • Suppliers, support service providers, archive service providers, and business partners with whom you cooperate (I know I can request further information in writing from the hospital).

Method and Legal Grounds for Collecting Personal Data

I have been informed that my personal data are collected and processed verbally, in writing, visually, or electronically, for the above-mentioned purposes and in order to carry out all activities related to Barış Özgür’s field of activity within the legal framework, and to fully and properly fulfill Barış Özgür’s contractual and legal obligations. The legal grounds for the collection of my personal data are:

  • Law No. 6698 on the Protection of Personal Data,
  • Basic Law on Health Services No. 3359,
  • Decree Law No. 663 on the Organization and Duties of the Ministry of Health and Its Affiliates,
  • Private Hospitals Regulation,
  • Regulation on the Processing of Personal Health Data and Protection of Privacy,
  • Ministry of Health regulations and other relevant legislation.

Furthermore, as stated in Article 6, paragraph 3 of the Law, I acknowledge that personal data related to health and sexual life may be processed, without my explicit consent, by persons under confidentiality obligations or by authorized institutions and organizations, solely for the purposes of protecting public health, preventive medicine, medical diagnosis, treatment and care services, and the planning and management of healthcare services and financing.

Rights Regarding the Protection of Personal Data

According to the Law and related legislation, I have been informed that I have the right to:

  • Learn whether my personal data are processed,
  • Request information if my personal data have been processed,
  • Access my personal health data and request them,
  • Learn the purpose of processing my personal data and whether they are used for their intended purpose,
  • Know the third parties to whom my personal data are transferred domestically or abroad,
  • Request correction of my personal data if they are incomplete or incorrectly processed,
  • Request deletion or destruction of my personal data,
  • Request that corrections, deletions, or destructions of my personal data be notified to third parties to whom the data have been transferred,
  • Object to the emergence of a result against me through the exclusive analysis of my processed data by automated systems,
  • Claim compensation if I suffer damages due to the unlawful processing of my personal data.

I have been informed that I can submit my requests under the Law by filling in the “Application Form Pursuant to the Law on the Protection of Personal Data” available on ………………… web address and delivering it through the following means:

  • Personally to ……………………… address,
  • Via notary,
  • Electronically signed or mobile signed to ……………………………… address, or via my registered email address or my email address registered in your system.

Final Consent

I declare that I have read and understood the Information Notice on the Processing of Personal Data prepared by Barış Özgür; that I have been informed in detail about the purposes of processing my personal data, the institutions, organizations, companies, and healthcare professionals to whom they are transferred, their collection methods and legal grounds, my rights regarding the protection of my personal data, data security, and my right to apply; and that, apart from cases where processing and transfer are necessary for the performance of the contract, where it is explicitly provided for by law, where it is mandatory for Barış Özgür to fulfill its legal obligations, and for the protection of public health, preventive medicine, medical diagnosis, treatment and care services, and the planning and management of healthcare services and financing, I ACCEPT WITH MY EXPLICIT CONSENT the storage, processing, and transfer of my Personal and Special Categories of Data in accordance with the issues specified in the Information Notice on the Processing of Personal Data.