Consent to the Processing of Personal Data

Content of consent

In accordance with the Law of Ukraine “On Personal Data Protection” No. 2297-VI of 01.06.2010, I, the personal data subject, give my consent to the Controller — sole proprietor (FOP) Oksana Mykhailivna Obrizko (RNOKPP 2643515028), who carries out medical practice under the name “St. Panteleimon Family Clinic” (6/36 Bilasa i Danylyshyna St., Kalush) — to process my personal data on the following terms:

1. What data

• first name and surname;
• phone number;
• email address (if provided);
• information I voluntarily provide in the form (selected service, preferred date, comment);
• where needed to provide medical care — data about my health (a special category of data).

2. For what purpose

• handling my appointment request and contacting me to confirm the visit;
• providing medical services and keeping medical records;
• responding to my requests and enquiries;
• compliance by the Clinic with legal requirements.

3. Scope of actions with data

The consent covers the collection, registration, accumulation, storage, adaptation, modification, use, anonymization and destruction of personal data to the extent necessary for the stated purpose.

4. Transfer to third parties

I agree that my data may be transferred to third parties only to the extent and for the purposes set out in the Privacy Policy (in particular to the Health24 medical information system, the hosting provider and analytics services), as well as to public authorities in cases provided by law.

5. Duration and withdrawal of consent

The consent is valid for the period necessary to achieve the stated purpose and to comply with healthcare legislation. I may withdraw this consent at any time by sending a request to obrizkoo@gmail.com or by phone at +38 (097) 699-53-84. Withdrawal of consent does not affect the lawfulness of processing carried out before the withdrawal.

6. Confirmation of rights

I confirm that I have been informed of my rights as a personal data subject (Article 8 of the Law of Ukraine “On Personal Data Protection”), of the purpose of data collection and of the persons to whom my data may be transferred. Details are in the Privacy Policy.