Consent | Data Privacy

IN CASE OF A PREGNANCY / CHILD HEALTH APPOINTMENT

DECLARATION OF CONSENT

In the terms of Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016

PART 1: THERAPEUTIC PROCESS

The entity responsable for treatment and process of data is Gimnográvida – Preparação Para Parto e Maternidade Lda, based on Avenida da Boavista, N.º 1015, 2º Esq. Traseiras, Sala 201 4100-128 Porto, with NIPC 506599400, referenced in this declaration of consent as Gimnográvida.

I hereby agree and consent that Gimnográvida, may collect, use, transfer and process my personal data, including sensitive (health) data and information about me for the following purposes (“Purposes”):

1. To create my patient health record, including medical history, diagnoses, medications, treatment plans, anthropometric data, lifestyle data, symptoms, previous interventions and complementary diagnostic tests.

2. To provide an integrated and quality treatment, as requested by me to the above mentioned entity.

3. To create additional data such as annotations, analysis and reports needed for a better diagnosis and evaluation.

4. To process orders, sample requests and for general administrative purposes.

Gimnográvida - Preparação Para Parto e Maternidade Lda, NIPC 506599400, respects and protects the private information of the individual. Any transfer of data will only occur to support the above mentioned Purposes. Data may be collected, shared and processed by the health professionals that work directly with or provide services to this company.

I agree and consent that data will be stored for as long as the purpose of the data processing remains in place or until the individual informs Gimnográvida otherwise. Data will be kept for 20 additional years after the end of the relationship between Gimnográvida and the individual, to the sole use by authorities in case of any legal dispute.

PART 2: NEWSLETTER UTERUS

UTERUS – Saúde Integrativa de Mulher® is a registered trademark of Gimnográvida – Preparação Para Parto e Maternidade Lda.

Gimnográvida has a newsletter that is used for marketing purposes to promote their services, events and workshops (some of them for free). The newsletter is carefully tailored to the profile of each client.

As I select below, I may or may not authorize the use of my personal data for sending the above mentioned newsletter to the email address previously provided by me.

I authorizeI do not authorize

PART 3: OTHER INFORMATION

I may contact Gimnográvida through geral@uterus.pt at any time with a request for:

1. - Any further clarifications on this matter;

2. - Access to my data;

3. - Rectification or deletion of my data;

4. - Restrictions upon Gimnográvida in the processing of my data;

5. - Receiving my data;

6. - Withdrawal of my consent to the above.

I am aware that I can contact Comissão Nacional de Proteção de Dados (CNPD) for any complaints, requests for information and other concerns.

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