KVKK Information Notice

PATIENT INFORMATION & CONSENT FORM

A – KVKK INFORMATION NOTICE

MEDOLEA TURİZM SAĞLIK HİZMETLERİ TİCARET LİMİTED ŞİRKETİ (“Medolea”) respects patient privacy and is committed to protecting the confidentiality of personal data in accordance with the Law on the Protection of Personal Data (KVKK). Your personal data shared with us is processed and protected by the data controller Medolea in compliance with KVKK and other applicable regulations.

Contact Information

Address: Atatürk Mah. Morgül Sk. Gümüş Han No: 4 İç Kapı No: 52 Ümraniye / İstanbul

Phone: +90 545 134 14 26

Email: info@medoleahealth.com

1- Method of Collecting Personal Data & Purpose of Processing

Your personal data is processed lawfully, fairly, accurately, and, where necessary, up-to-date; for specific, clear, and legitimate purposes; and in a manner that is relevant, limited, and proportionate to the purposes for which they are processed.

Collection Methods:

Physical and/or digital forms for appointments and registration,

Our website, social media, and digital communication channels,

Telephone calls,

Imaging devices,

Examinations and medical tests by our doctors,

Integrated systems of private health institutions.

Purposes of Processing:

Identity verification,

Protection of public health, planning and management of medical diagnosis, treatment, and care services,

Appointment reminders and notifications,

Archiving health data as required by law,

Providing information to and responding to official authorities,

Fulfilling documentation requests from insurance companies and issuing receipts,

Analyzing and improving healthcare services and managing feedback.

2- Types of Personal Data Collected

Patient identification data (name, surname, Turkish ID/passport number, date of birth, gender)

Health data (reason for admission, medical history, family history, test and examination results)

Photos and videos taken during examination with explicit consent

Feedback following examinations

Test results, reports, e-invoices, and receipts sent to your registered email addresses

3- Legal Grounds for Collecting Personal Data

Law No. 6698 on the Protection of Personal Data (KVKK),

Law No. 3359 on Basic Health Services,

Decree Law No. 663,

Regulation on Private Hospitals,

Regulation on Processing and Protection of Personal Health Data,

Ministry of Health regulations and other applicable legislation.

4- Transfer of Personal Data

Your personal data will be recorded only to the extent required for the provision of healthcare services and stored for no longer than necessary. All processed data is protected as a professional secret and will not be shared with third parties or institutions except as required by law. Data may be transferred to:

Contracted sworn financial advisors,

Contracted medical laboratories,

Authorized public institutions and organizations,

Our legal advisors,

Judicial authorities or law enforcement upon request,

The Ministry of Health’s Medical Information Management System, if necessary.

5- Your Rights Regarding Personal Data

Under Article 11 of KVKK, you have the right to:

Learn whether your personal data is being processed,

Request information if your personal data has been processed,

Learn the purpose of processing and whether your data is being used in accordance with this purpose,

Know the third parties to whom your data is transferred domestically or abroad,

Request correction of incomplete or inaccurate data and notification to third parties,

Request deletion or destruction of your data if the reasons for processing no longer exist and notification to third parties,

Object to decisions made solely by automated systems,

Request compensation for damages if you suffer harm due to unlawful processing.

[ ] I have read, understood, and accept.

Patient Name & Surname:

Signature:

Date:

B- PATIENT CONSENT FORM

To provide you with healthcare services, we are required by law to record your health data, which is considered sensitive personal data. According to Article 6(2) of the Law on the Protection of Personal Data, sensitive personal data cannot be processed without your explicit written consent, except in specific cases defined by law. Your explicit consent is required for the following:

I consent to the processing, storage, and, where necessary, transfer of my identification and health information by Medolea to authorized public institutions and organizations;

I consent to the storage of my email address and phone number and to receiving notifications regarding my appointments or operations via these channels;

I consent to the necessary access to my personal data by the Medolea’s physicians and staff;

I consent to the transfer of my personal data to service providers (accountants, IT support, appointment organizers, etc.) and, if necessary, to healthcare professionals at referred institutions;

I consent to the processing and transfer of my personal data to insurance companies as required;

I consent to the processing of my financial data for the issuance of professional receipts;

I consent to the sharing of my health data with my relatives named below in cases of medical necessity or legal obligation;

By checking the relevant box below, I declare that I have read, understood, and approve:

[ ] I have read, understood, and give my consent

[ ] I have read, understood, and do not give my consent

Patient Name & Surname:

Signature:

Date:

Time:

If the patient is under 18 or unconscious:

Relative’s Name & Surname:

Signature:

Date:

Time:

Relationship:

If an interpreter is present (for language/communication issues):

I confirm that the information I have translated has been understood by the patient/relative.

Interpreter’s Name & Surname:

Signature:

Date:

Time: