Explicit Consent Form

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1. Scope

This Explicit Consent Form has been prepared by Curavita Evde Sağlık under the Personal Data Protection Law No. 6698 ("KVKK") in order to obtain your explicit consent to the processing of your special categories of personal data, above all your health data, that you share when you request and receive home healthcare services, and to the transfer of this data to the necessary parties.

Under the KVKK, explicit consent is defined as consent that relates to a specific matter, is based on information and is expressed of your own free will. For this reason, before giving your consent, we ask you to read the KVKK Privacy Notice, which explains the legal grounds on which your personal data is processed, how long it is retained and your rights under the KVKK. This form does not replace the KVKK Privacy Notice; it complements it.

Your health data may also be processed on the relevant legal ground in cases where legislation permits processing without explicit consent (e.g. obligations prescribed by law, or the conduct of medical diagnosis, treatment and care services). This form aims to obtain your consent for the processing and transfer activities for which explicit consent is required.

This form applies to patients who use the service, as well as to patients' relatives and legal representatives who apply on a patient's behalf.

2. Data Controller

The data controller responsible for processing your special categories of personal data:

Curavita Evde Sağlık (Ges Global Sağlık Hizmetleri Limited Şirketi)

Licensed Facility: Özel Curavita Evde Bakım Merkezi (Curavita private home care center)

Email: info@curavitaevdesaglik.com

Phone: +90 216 235 10 45

Address: Tatlısu Mah. Şenol Güneş Blv. Mira A Blok No: 2 A, Ümraniye/İstanbul

3. Special Categories of Personal Data Processed

Within the scope of this form, the following data that you share in your service request and during the provision of the service may be processed:

  • Health information: Medical history, diagnoses, medications used and information about your care needs
  • Requested service: The type of service you specify in forms or conversations (e.g. IV drip, injection, laboratory or imaging service) and any notes you add to your request
  • Prescription and report information: Information contained in prescriptions, medical reports and treatment instructions issued by your doctor
  • Test results: Laboratory test results and imaging reports

Because the type of service you request may also reveal information about your health, it is protected as special category personal data. Information on the processing of your other personal data, such as your identity and contact details, is provided in the KVKK Privacy Notice.

We only ask for the information the service requires; please do not share health information that is not relevant to your request.

4. Purposes of Processing

Your special categories of personal data are processed for the following purposes and to the extent these purposes require:

  • Receiving and planning the service request: Assessing your request and determining the appropriate healthcare professional and visit time
  • Providing home healthcare services: Delivering your care safely and in line with medical requirements, and keeping service records
  • Appointments and communication: Scheduling, rescheduling and reminding you of appointments; communicating with you or the relative you designate about your service
  • Laboratory and imaging processes: Sending collected samples to the laboratory for analysis, planning imaging procedures, and delivering the results to you and the relevant doctor
  • Billing and, on request, insurance processes: Invoicing the service; if you request it, obtaining pre-approval from your insurance company and handling insurance billing
  • Fulfilling legal obligations: Keeping the records required under health legislation and making mandatory notifications to the competent authorities

The consent you give under this form does not cover the use of your health data for marketing or advertising purposes.

5. Parties to Whom Data May Be Transferred

Your data may be transferred to the following parties, limited to the purposes above and only with the information that is necessary:

  • Laboratories: For analyzing your samples and reporting the results
  • Imaging centers: For performing and reporting imaging procedures
  • Doctors and healthcare professionals: Doctors, nurses and other healthcare professionals who provide or contribute to your care
  • Insurance companies: Your insurance company, only if you request it, for pre-approval and billing procedures
  • Competent public authorities: Competent institutions and organizations such as the Ministry of Health and judicial authorities, in cases where disclosure of information is mandatory under legislation

Confidentiality and data security obligations are observed in all transfers.

  • Giving explicit consent is entirely voluntary; not giving consent does not affect processing that legislation permits without explicit consent
  • If information necessary for the safe provision of a particular service cannot be shared, we will inform you of how this affects the service
  • You may withdraw your consent at any time, without giving any reason, either entirely or only for a specific processing activity or transfer
  • Withdrawal of consent takes effect for the future; it does not affect the lawfulness of processing and transfers carried out on the basis of your consent up to the date of withdrawal
  • Once your withdrawal request reaches us, processing and transfers based on your consent are stopped; however, records that must be kept under health legislation continue to be retained for the statutory periods

To withdraw your consent or send us your questions about this form:

  • Email: You can send your application to info@curavitaevdesaglik.com
  • Post: You can send a written application to Tatlısu Mah. Şenol Güneş Blv. Mira A Blok No: 2 A, Ümraniye/İstanbul
  • Phone: You can call +90 216 235 10 45 for information about the application process

Your application must clearly state information that verifies your identity and the subject of your request. If you are applying on behalf of a relative, you must also attach a document showing your authority to do so. Your application will be concluded within 30 days at the latest, and you will be informed of the outcome.

Your other rights under the KVKK and how to apply to the Personal Data Protection Board are explained in the KVKK Privacy Notice.

Your explicit consent is obtained when you tick the consent checkbox on the forms on our website. By ticking the checkbox, you make the following statement:

Statement: I have read and understood the KVKK Privacy Notice and this Explicit Consent Form. Of my own free will, I give my explicit consent to the processing of my special categories of personal data, above all my health data, for the purposes stated in this form, and to their transfer to the parties listed in this form, limited to the same purposes.

You are not deemed to have given explicit consent unless you tick the checkbox. If you are filling in the form on behalf of a patient, you also declare that the patient is aware of this form and that you are authorized to give consent on their behalf.

You can withdraw your consent at any time using the methods described in Section 7.

For questions

Call us: +90 216 235 10 45