Doctor Pantelidis Emmanuel informs you about the processing of your personal data:
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According to article 14 of Law 3418/2005 (Code of Medical Ethics), it is mandatory to keep a medical record, which records the following: Name, surname, gender, age, profession, patient address, dates of visit, health complaints, reason for visit, primary and secondary diagnosis or treatment followed, results of clinical and paraclinical examinations. This record is kept, according to the law, for a period of 10 years after your last visit.
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The doctor adheres to the necessary security measures to safeguard your personal data.
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As a patient, you have the following rights regarding your personal data:
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Right to access your data: The right to know if your data is being processed, how and for what purpose.
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Right to rectification of your data: The right to request rectification of your personal data if it is inaccurate or incomplete.
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Right to erasure of your data (“right to be forgotten”): The right to request the erasure or removal of your personal data, under certain conditions and after the above-mentioned ten years.
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Right to restrict the processing of your data: The right to request the restriction of the processing of your personal data when certain conditions are met.
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Δικαίωμα στη φορητότητα των δεδομένων σας: Το δικαίωμα σας να ζητήσετε να αποσταλούν τα στοιχεία σας σε τρίτο (π.χ. άλλον ιατρό).
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When you submit a request exercising any of the above rights, the doctor must respond to you within 1 month either by satisfying the right (e.g. by giving you a copy of your medical file) or by rejecting your request with justification (e.g. by refusing a request for deletion, because the law obliges the doctor to retain it for 10 years) or by explaining the reasons for the delay. In any case of delay, the doctor must, however, respond positively or negatively within 3 months of the request.
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If you provide your consent, the doctor will use your personal data for the following purposes:
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To make use of the access provided by the electronic prescription system of the Hellenic Medical Insurance Agency in order to obtain information regarding the history of all types of prescribed medications and tests |
☐YES |
☐ NO |
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Telephone contact with you to organize your next visit. |
☐YES |
☐ NO |
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Information about your health issues. (If you do not provide your consent, the doctor will not use your contact information, unless there is a case of protecting your vital interests or those of third parties or of an overriding public interest). |
☐YES |
☐ NO |
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Taking photos to monitor your health progress. |
☐YES |
☐ NO |
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Posting your photos online with care so that your identity is not directly or indirectly revealed. |
☐YES |
☐ NO |
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Contacting you for various updates regarding the clinic's activities. |
☐YES |
☐ NO |
You can select either some or all of the above purposes.
In any case, it is noted that every physician is bound by the Code of Medical Ethics to ensure medical confidentiality and protect the data of their patients.
I have read and understood all of the above and have freely chosen for which purposes I wish or do not wish to provide my consent.
Date ……
PATIENT'S NAME: ………………..
(In the case of a minor under 16 years of age: Name and surname of the person exercising parental responsibility:………………………………………………………)
Signature ————————————




