Özel Lotus Hastanesi

This explicit consent form has been prepared after the 'Patient Clarification Text' was presented to you. Please make sure you have read the clarification text and evaluated it with your free will.

After giving explicit consent to the processing of personal data, you may withdraw your consent at any time. Withdrawal does not affect data processing activities carried out until the withdrawal date.

Explicit consent refers to consent relating to a specific subject, based on information and expressed with free will. This text requests explicit consent only for the matters specified below. We remind you that you are completely free to give or withhold consent.

Detailed information regarding your personal data processed without your explicit consent based on legal reasons under Articles 5 and 6 of the Law on the Protection of Personal Data No. 6698 is provided in the Clarification Text.

As PRIVATE LOTUS HOSPITAL, holding the title of data controller under the PDPL; we request your explicit consent for the data processing activities outside the exceptional cases specified in the Law:

Matters Requiring Explicit Consent

For the following purposes;

Carrying out marketing processes for products and services
Carrying out promotional and informative activities
Sending SMS for campaigns, announcements, and information
Telephone calls
Sending electronic messages

I consent to the processing, storage, and sharing of my identity, contact, and professional information with real persons and private legal entities, limited to these purposes;

I AcceptI Reject

Furthermore;

I consent to the retention of my personal and sensitive personal data (including health data) for the periods stipulated in the relevant legislation;

I AcceptI Reject

I declare that I have given this explicit consent with my free will, without any pressure.

Data Subject

Name & Surname

Date

Signature

Will be Signed on the Printed Document

PRIVATE LOTUS HOSPITAL

Patient & Patient Representative Explicit Consent Form

Matters Requiring Explicit Consent

Patient & Patient Representative Explicit Consent Form

Matters Requiring Explicit Consent