Dr. Melis Ulger

K.V.K.K. and Privacy

ABOUT THE PROCESSING OF PERSONAL DATA EXPLICIT CONSENT FORM
Dr. Melis Ülger

Dr. Melis Esin Ülger adopts the principle of protecting patient privacy while providing healthcare services and attaches importance to protecting the confidentiality of your personal information. Pursuant to the Law No. 6698 on the Protection of Personal Data, in the capacity of Data Controller and within the framework of the obligation to inform, taking into account the data security of patients and their relatives, due to the importance we attach to the protection of privacy, fundamental rights and freedoms, the purposes of processing your personal data, legal reasons, collection method, We would like to inform you about the rights granted to you within the scope of the Law on the Protection of Personal Data No. 6698 and to whom it can be transferred and the rights granted to you within the scope of the Law on the Protection of Personal Data No. 6698 and the Regulation on the Processing of Personal Health Data and Ensuring the Privacy of Personal Health Data, and we would also like to inform you that your personal data in the "Patient / Service Receiver Clarification Text within the Scope of the Law on the Protection of Personal Data", which is submitted to your information in accordance with the relevant provisions of the Regulation on the Protection of Personal Data No. 6698 and the Regulation on the Processing of Personal Health Data and Ensuring Privacy; Except in cases where your personal data included in the "Patient / Service Receiver Clarification Text within the Scope of the Law on the Protection of Personal Data", which is presented to your information in accordance with the relevant provisions of the "Patient / Service Receiver Clarification Text" in accordance with the relevant provisions of the Law on the Protection of Personal Data and the Regulation on Ensuring the Privacy of Personal Health Data;

 

  1. Collection and Processing of Personal Data:


I have been informed that you have obtained my personal data verbally, in writing, visually or electronically, depending on the nature of the service provided, in order to provide me with high quality and high standards of service by reading the "Patient / Service Receiver Clarification Text within the Scope of the Law on the Protection of Personal Data" you have provided to me.

In this context, my personal health data, which is necessary for the execution of all medical diagnosis, examination, treatment and care services and obtained for this purpose, and my general and special categories of personal data obtained are listed below;

  • My identity information; my name, surname, Turkish ID number, copy of my driver's license, passport number or temporary Turkish ID number, place and date of birth, marital status, gender, insurance or patient protocol number, private health insurance or Social Security Institution data and other identity information that can identify me.
    - My Contact Information: My address, phone number, e-mail address and other contact data, my voice call records kept by customer representatives or patient services in accordance with call center standards, and my personal data obtained when I contact the practice via e-mail, letter or other means.
  • My Financial Information; financial data such as my bank account number, IBAN number, credit card information, billing information.
  • If I visit your hospital, the camera and photo records kept for security purposes, if I use the parking lot and valet service, vehicle license plate data, related photographs and camera records.
  • During my visit to your hospitals, I was recorded and recorded by the closed circuit camera system,
    - My Health Information; my general and special categories of personal data, especially personal health data obtained during the execution of all medical diagnosis, examination, treatment and care services and provided to you; for example, my appointment and examination information, laboratory results, test results, check-up and prescription information, data specified in the consent form in case of a medical intervention,
  • My survey, suggestion, satisfaction, thank you and complaint data, e-mail, website contact form, navigation information you obtain in case of using your website and mobile applications; my IP address, wi-fi information, browser information and medical documents, surveys, related registration and form information that I transmit to you with my consent with the same system, or other data that I share with you in other ways, private health insurance for the purpose of financing and planning of health services, etc. my data.

  1. Purposes of Processing Personal Data:


I have been informed that my Personal and Sensitive Personal Data above may be processed for the following purposes;

 

  • Basic Law No. 3359 on Health Services, Decree Law No. 663 on the Organization and Duties of the Ministry of Health and its Affiliated Organizations, Law No. 6698 on the Protection of Personal Data, Law No. 1593 on Public Hygiene, Patient Rights Regulation, Regulation on Private Hospitals, Regulation on Outpatient Diagnosis and Treatment, Regulation on Personal Health Data and other relevant regulations;
  • Protection of public health, preventive medicine, medical diagnosis, treatment and care services, planning and management of health services and financing, provision of all medical diagnosis, examination, treatment and care services, supply of medicines, consumables and specialized materials,
  • Providing information about the appointment if I make an appointment; verifying my identity, billing; planning, managing and monitoring transactions quickly and accurately,
  • Ensuring financial reconciliation with contracted institutions regarding the health services provided to me; responding to the requests of public institutions and organizations in accordance with the legislation,
  • Measuring patient satisfaction and increasing patient satisfaction after receiving health services; responding to all my questions and complaints; informing me about the services provided;
  • Development of quality processes and fulfillment of activities,
  • Research and analyze my use of health care services to improve the services provided by you,
  • Participation in campaigns and providing campaign information by the relevant departments through all kinds of communication

To provide information to prosecutors' offices, courts, all kinds of judicial authorities, the General Directorate of Population, the Turkish Medical Association and the Pharmacists Association of Turkey, relevant public officials, upon request and in accordance with the legislation, in matters related to public security and in legal disputes that may arise; when necessary, to authorized public institutions and organizations within the scope of the above-mentioned purposes, to the institutions and organizations sent in case of referral, to the health institutions and organizations you cooperate with for medical diagnosis and treatment, laboratories, business partners, private insurance companies, law offices, financial advisors, all your consultants within the third parties you receive consultancy.


  1. Methods of Collecting Personal Data and Legal Grounds for Collecting Personal Data:


I am aware that the legal reason for the collection of my Personal Data is within the scope of the Law on the Protection of Personal Data No. 6698, the Basic Law on Health Services No. 3359, the Decree Law No. 663, the Regulation on Private Hospitals, the Regulation on Outpatient Diagnosis and Treatment and the relevant legislation.


My personal data that I have shared in the Clarification Text are specified in Articles 5 and 6 of Law No. 6698

  • It is clearly stipulated in the law,
  • Provided that it is directly related to the conclusion or performance of a contract, it is necessary to process personal data of the parties to the contract,
  • It is necessary for the protection of the life or physical integrity of the person who is unable to disclose his/her consent due to actual impossibility or whose consent is not legally valid,
  • It is mandatory for the data controller to fulfill its legal obligation,
  • It is mandatory for the legitimate interest of the data controller, provided that it does not harm the fundamental rights and freedoms of the data subject,
  • For reasons of protection of public health, preventive medicine, medical diagnosis, treatment and care services, planning and management of health services and financing; within the scope of the purposes specified in the Clarification Text;

 

  1. a) To be in compliance with the law and good faith,
  2. b) Provided that it is accurate and, where necessary, up to date,
  3. c) For specific, explicit and legitimate purposes,
  4. d) In connection with, limited and proportionate to the purpose for which they are processed,
  5. e) I have been informed that they will be processed, recorded, stored, preserved, classified and transferred by automatic means (e.g. camera recordings) or non-automatic means (e.g. forms filled out by me) provided that they are part of any data recording system (e.g. forms filled out by me) in order to be kept for the period stipulated in the relevant legislation or required for the purpose for which they are processed.

 

In addition, as stated in Article 6, paragraph 3 of the Law, I know that personal data related to health and sexual life can only be processed by persons or authorized institutions and organizations under the obligation of confidentiality for the protection of public health, preventive medicine, medical diagnosis, treatment and care services, planning and management of health services and financing, without seeking my explicit consent.


4.Transfer of Personal Data:


My Personal Data, Health Services Basic Law No. 3359, Decree Law No. 663 on the Organization and Duties of the Ministry of Health and Affiliated Organizations, Public Hygiene Law No. 1593, Patient Rights Regulation, Private Hospitals Regulation, Outpatient Diagnosis and Treatment Regulation, Personal Health Data Processing and Protection of Privacy Regulation and Ministry of Health regulations and relevant legislation provisions and for the purposes described above;

  • The Ministry of Health, its sub-units and centers, and family medicine centers,
  • Private insurance companies (health, pension, life insurance and similar)
  • Turkish Medical Association,
  • Pharmacists Association of Turkey,
  • General Directorate of Population,
  • General Directorate of Security and other law enforcement agencies,
  • Social Security Institution,
  • Prosecutors' offices, courts and all kinds of judicial authorities as required by the legislation,
  • Authorized public institutions and organizations to provide information to relevant public officials,
  • Laboratories, health institutions and organizations with which you cooperate for medical diagnosis and treatment, and relevant health institutions and organizations in case of referral,
  • I know that it can be transferred to all private insurance companies, law offices, financial advisors, business partners and all your consultants within the third parties you receive consultancy from.


5.Your Rights Regarding the Protection of Personal Data:


By approving this Clarification Text in accordance with the Law and relevant legislation;

  • To learn whether my personal data is being processed,
  • Request information regarding the processing of my personal data,
  • Access to and request for my personal health data,
  • To learn the purpose of processing my personal data and whether they are used for their intended purpose,
  • To know the third parties to whom my personal data is transferred domestically or abroad,
  • To request correction of my personal data in case of incomplete or incorrect processing,
    -Request deletion or destruction (anonymization) of my personal data,
  • In case my personal data is incomplete or incorrectly processed, to request that third parties to whom personal data is transferred be notified of the transactions regarding the correction of these and/or the deletion or destruction of my personal data,
  • To object to the emergence of a result against me by analyzing my data processed by the hospital exclusively through automated systems,
    -I have been informed that I HAVE THE RIGHTS to demand the compensation of the damage in case of damage due to unlawful processing of my personal data.


6.Contact and Application;


I have submitted my requests under the law to "drmelisulger.com" by filling out the "Data Owner Application Form" available at the web address;

  • "Caddebostan, Operator Cemil Topuzlu Cad. No:78 Kat:1 Apartment:10, 34728 Kadıköy/IstanbulI can deliver it in person to the address ",
  • I can send it through a notary,
  • "[email protected]" address with secure electronic or mobile signature, in writing to Dr. Melis Esin Ülger via her registered electronic mail address or my electronic e-mail address registered in your system, or by using her registered electronic mail (KEP) address, secure electronic signature, mobile signature or the electronic mail address previously notified to the data controller by the data subject and registered in the system of the data controller.
  • I know that I will share my personal data that will be subject to processing with you as the personal data owner through all the contact information I have provided to you (address, telephone, e-mail, etc. means of communication), that any feedback to be made can be made by you as the data controller through the same means of communication, and that if the relevant contact information changes, I will update it by informing you as the Data Controller.


Conclusion
I have read and understood the "Patient / Service Receiver Clarification Text within the Scope of the Law on the Protection of Personal Data" prepared by Dr. Melis Esin Ülger and I have been informed about the purpose of processing my personal data included in this text; the institutions, organizations, companies and third parties to which it is transferred, the methods of collection and the legal reasons for them, my rights to protect my personal data, the security of my personal data and my right to apply,
PROCESSING, preserving, organizing and transferring my Personal and Special Qualified Data in accordance with the matters specified in the "Patient / Service Receiver Clarification Text within the Scope of the Law on the Protection of Personal Data", EXCEPT in cases where it is explicitly stipulated in the law, it is mandatory for Dr. Melis Esin Ülger to fulfill her legal obligation and it is processed and transferred to the extent necessary for the purposes of protecting public health, preventive medicine, medical diagnosis, treatment and care services, planning and management of health services and financing,


I ACCEPT WITH EXPRESS CONSENT.

 


Patient / Service Recipient Name Surname

................................

 

Handwritten "I have read, I understand"

....................................


Signature, Date, Time

.............................

 


Name and Surname of Patient/Service Recipient Relative in case of presence

................................

 

Handwritten "I have read, I understand"

....................................


Signature, Date, Time

.............................


Interpreter when required Name and Surname

................................


Signature, Date, Time

.............................

 

 

 

Reason for obtaining consent from the patient's relatives:

  • The patient is under 19 years of age (Signatures are taken from both parents - mother and father. However, if it is a divorced family, the signature is taken from the custodial parent)
  • Lacks the power of appeal/no decision-making capacity (Signature of the guardian or legal representative)
  • Unconscious

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