Personal data

PERSONAL DATA SHARING CONSENT FORM

The personal information I provide to receive diagnosis and treatment services and the result of the health service

All personal information obtained will be processed within the scope of USVS 2.0 as of January 1, 2013.

Ministry of Health to physicians and health institutions to be sent to the Ministry of Health.

I learned that an obligation was imposed by

The requested information includes; all identification, address, contact, pregnancy tests, health history,

disability status, marital status, alcohol-substance-smoking use, job, profession, education level,

income status, disease complaints, patient’s history (anemnesia), all examination results, examination

Required institutions, women aged 15-49, birth, type and number of abortions, women’s health

procedures, family planning method used, pregnancy detection results, last menstrual date, father’s

blood type, resulting in birth or miscarriage, whether or not pregnant is detected

all pregnancies, all preventive medicine, diagnosis and treatment procedures related to oral and dental health and

I was told that there was much more information.

Protection of my personal records requested to be sent by the Ministry of Health

is among the personal data required, this information can be used for diagnosis, treatment and other purposes without my consent.

To persons and institutions other than physicians and healthcare personnel who perform the examination procedures

The granting of the information does not interfere with my rights to the privacy of my private life and the protection of my personal data.

I know that.

In Article 20 of the Constitution; “Respect for everyone’s private and family life

to the confidentiality of his private and family life, which he has the right to request to be shown

cannot be touched, everyone has the right to request the protection of their personal data

Personal data can only be processed in cases stipulated by law or with the express consent of the person.

The principles and procedures regarding the protection of personal data, including the possibility of processing, are set forth by law.

is regulated.” It was conveyed to me that there were provisions.

The Ministry of Health will create a personal health data record with the information to be collected,

The collected information will be analyzed by purifying it from personal information and the results will be

will be used in planning services and creating health policies.

and does not require patients’ consent to collect this information.

announced.

There is no security risk after my personal data is collected and processed with this method.

It was stated that no commitment would be made to me that I would not encounter any problems.

Who and which institution will be responsible for any negativities that may occur?

No statement was made regarding this.

In the light of all this information, within the scope of diagnosis and treatment services, both by me and

My personal information transferred and learned within the scope of health services will be submitted to the Ministry of Health.

I consent to the transfer.