PERSONAL DATA
INFORMATION AND CONSENT FORM
In order to provide you with healthcare services at our clinic, it may be necessary for us to obtain your personal information and health data, and to record and store such data within the limits required by the service to be provided.
Your health data, which we are required to record in order to provide healthcare services to you, is considered as special category personal data under the law. In this context, pursuant to Article 6, Paragraph 2 of the Turkish Personal Data Protection Law No. 6698, which states that **“Processing of special category personal data without the explicit consent of the data subject is prohibited,”** your personal health data can only be recorded with your explicit written consent, except in cases specified by law. Therefore, it is mandatory to obtain your consent.
INFORMATION TEXT
1. This consent covers all personal data that you provide to our clinic verbally, in writing, visually, or electronically, as well as personal data obtained through internet and mobile applications or collected during your visit to our clinic (such as laboratory results, prescriptions, camera recordings, videos, photographs, etc.).
2. In this context, personal data required for the provision of healthcare services include, but are not limited to: your name, surname, Turkish ID number (or passport number/temporary ID number if you are not a Turkish citizen), place and date of birth, marital status, gender, identity documents, address, phone number, email address, financial data such as bank account and IBAN details, your medical history, examination data, treatment records, prescriptions, photographs, audio/video recordings, laboratory and imaging results, test results, health and sexual life data obtained during diagnosis, treatment, and care processes, private health insurance information, and Social Security Institution data.
3. Your personal data will be recorded in accordance with the Personal Data Protection Law No. 6698 and relevant legislation, only to the extent required for the provision of healthcare services, and **will be stored in our systems/archives for no longer than necessary to fulfill the purposes for which they are collected.** These data will be treated as professional confidentiality, protected, and not shared with third parties/institutions/organizations.
4. However, in cases where the confidentiality of medical records must be limited for the protection of public health—such as the obligation to report infectious diseases under Article 58 of the Public Health Law No. 1593—or in cases of legal obligations such as reporting a crime, your data may be shared with authorized authorities in a limited and proportionate manner. Additionally, your health data may be shared with another physician for consultation purposes when necessary.
5. Requests from public institutions, judicial authorities, and other official bodies for the transfer of your personal data will be evaluated based on criteria such as the purpose of the request, whether the requested data aligns with the intended purpose, whether the necessity is clearly demonstrated, whether transferring non-anonymized data is the only way to achieve the purpose, and whether such transfer is necessary in a democratic society. Requests that do not meet all these criteria will not be fulfilled.
6. Regarding your personal data recorded by us, in accordance with the Convention for the Protection of Individuals with regard to Automatic Processing of Personal Data (Council of Europe Convention No. 108), Article 8 of the European Convention on Human Rights, Article 20 of the Turkish Constitution, and the Personal Data Protection Law No. 6698, you have the right to:
* Learn whether your personal data is processed and the scope of such processing,
* Request information if your personal data has been processed, access such data, and obtain copies,
* Learn the purpose of processing and whether your data is used in accordance with that purpose, and whether it is transferred domestically or abroad to third parties,
* Request correction of incomplete or inaccurate personal data (you may exercise this right by applying in person or in writing to our clinic’s official address),
* Request the anonymization, deletion, or destruction of certain personal data.
CONSENT DECLARATION
I declare that I have read and understood the **Personal Data Information and Consent Form** prepared by Özel Dentalplus Istanbul Oral and Dental Health Polyclinic, and that I have also been verbally informed on the matter.
I confirm that I have been informed about the purposes of processing my personal data, methods of collection, legal grounds, my rights regarding data protection, mandatory cases where data may be shared, data security, and my right to apply.
I hereby **explicitly consent** to the recording, storage, and processing of all my personal data, including my health data, by Özel Dentalplus Istanbul Oral and Dental Health Polyclinic and its employees, and to being contacted via the communication methods I have provided (mobile devices, internet, postal mail, etc.), within the framework described above.
*In accordance with the Patient Rights Regulation, one copy of this form will be given to you. If it is not provided, please inform the person obtaining your consent.*
** FOR DETAILED PERSONAL DATA INFORMATION AND CONSENT, YOU MAY VISIT OUR WEBSITE (https://dentalplus.com.tr).**