I have read the "Disclosure Text on the Processing of Personal Data" prepared by Op. Dr. Berat Bora Ok and I confirm that I have been informed about the processed personal data which are processed as specified in the disclosure text in detail, the methods and legal reasons for the collection of my personal data, the purposes of processing my personal data, the third parties, institutions, organizations and companies to which my personal data are transferred and the reasons for transferring, the issues that require my explicit consent, and that I can revoke my explicit consent at anytime, and my rights regarding the protection of my personal data, and how I can use them. 

Yes

No                             

 

I approve and explicitly consent of my own free will to Op. Dr. Berat Bora Ok Muayenehanesi to use my contact data to send me promotions, announcements and information regarding medical services and business activities.

Yes

No                             

 

 

I approve and explicitly consent of my own free will to the sharing of photo and video recordings taken before, after and/or during the medical operation that I had undergone on YouTube, Instagram, TikTok, Facebook, and similar social media accounts and corporate websites of Op. Dr. Berat Bora Ok, and use of them in medical and scientific publications and meetings and scientific education activities.

Yes

No                             

 

 

Data Subject

Name:

Date:

Signature: