Express Consent Clause for Patients in Consultation

In accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 and the Recommendations and Instructions issued by the Spanish Data Protection Authority (AEPD), Ines Vinas, as the Data Controller, hereby informs about the following considerations:

Personal data requested and provided by users are incorporated in a file, whose controller and recipient is Ines Vinas.
Only those data strictly required to provide the service, may be necessary to collect contact data from third parties, such as legal representatives, guardians, or dependents designated by them.
As a health professional, Ines Vinas ensures that all the information collected remains confidential and complies with the legally established security measures. These data will not be transferred or processed by third parties (natural or legal) without the prior consent of the patient, guardian or legal representative, except in those cases where it is essential for the proper provision of the service.
Once contractual relationship between the company and the client is finished, data will be filed and kept, for a minimum period of five years from the last visit, after which they will remain archived or fully returned to the patient or legally authorized person.
The personal data will be included in a file called ‘Patients’, with purpose of managing the medical treatment, issuing invoices, procedures related to the patient, contact, consent forms etc.
You can exercise your right of access, rectification, erasure, restriction of processing, portability and object, through writing request sent to info@inesvinas.com.
The personal data provided may be transferred by Ines Vinas to those entities whom provide services to her.

Pursuant to current legislation, we kindly request you to expressly consent to the clause above by accepting the form below.

Name *

Surname *

E-mail *

Please enter the e-mail address you used to make the booking or purchased the advice plan.

Does Ines Vinas have your express consent to the processing of your personal data as a patient? *

Compulsory under current legislation on the Protection of Personal Data (see more details in my Privacy Policy and Legal Notice)

Do you expressly authorize Ines Vinas to communicate with you via video call, phone call and WhatsApp instant messaging to conduct the consultation? *

Do you expressly authorize Ines Vinas to send you informative communications by e-mail, SMS, or by instant messaging services as WhatsApp, to keep you updated, or those developed because of the contracted services, as well as send you appointments' reminders, and reports referred to the assistance service agreed between both parties? *

Do you acknowledge and agree with Ines Vinas' appointment cancellation policy? *

You can exercise your right to voluntarily withdraw from the reservation, without penalty and without giving reasons. The amount of the reservation will be reimbursed provided that it is cancelled at least 24 hours in advance, due to the prior preparation time required. However, the option of changing the day or obtaining a voucher for the amount paid to acquire other options for advice will indeed be offered (see details in the Terms of Use).

Do you expressly request to receive commercial communications electronically (e-mail, SMS, or WhatsApp) by Ines Vinas on promotions and news from my products and services that may be of interest?

Phone