Explicit consent form

Explicit consent form for the processing of health data shared through the appointment form.

Within the scope of the Turkish Personal Data Protection Law No. 6698, I declare that I have read and understood the Privacy Notice prepared by the data controller, Dietitian Elif Arslan.

Accordingly, I give my explicit consent for my special category personal data (health data) that I share of my own free will through the appointment form, email, phone or during sessions, such as:

  • my height, weight and other body measurements,
  • any illness, allergy and intolerance information,
  • medications and supplements I use,
  • my laboratory results,
  • my pregnancy and breastfeeding status and eating habits,

to be processed for the purposes of:

  • scheduling my appointment,
  • assessing my nutritional status and preparing a personalised nutrition plan,
  • conducting follow-up sessions,

and to be stored only to the extent required by these purposes.

I understand that, if I give separate consent for this, relevant information may be shared with my physician so that my nutrition plan is consistent with my physician's recommendations.

I understand that I may withdraw my consent at any time by notifying kvkk@elifarslan.example in writing. Withdrawal of consent does not affect the lawfulness of processing carried out before the withdrawal.

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