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Contact form
Have you got any questions? Do you need help, informations?
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(If you are our patient, your card number will help us to conduct your application)
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Statement of consent for processing of personal data for application purpose
By filling out the form, I hereby agree for processing of my personal data shared with Medicover Sp. z o. o with its registered office in Warszawa (postcode: 00-807) at Al. Jerozolimskie 96, 00-807 Warszawa for the purposes of communication related to the query, and I accept that Medicover Sp. z o. o. is the administrator of my personal data.
Statement of consent for marketing contact via voice calls
I agree to receive from Medicover Sp. z o. o., Al. Jerozolimskie 96, 00-807 Warszawa and the companies of Medicover Polska, the commercial and marketing information with the use of telecommunication terminal equipment and so-called automatic calling systems. I select the following form of communication via voice calls (telephone calls, IVR voice messages).
Statement of consent for data processing for the purposes of marketing of products and services of Medicover Poland
I agree to the processing of my personal data provided by me by Medicover Sp. z o. o, Al. Jerozolimskie 96, 00-807 Warsaw, for the purpose of marketing the products and services of Medicover Poland entities, including through profiling/sending marketing materials.
Statement of consent for marketing contact via electronic messages
I agree to receive from Medicover Sp. z o. o., Al. Jerozolimskie 96, 00-807 Warszawa and the companies of Medicover Polska, the commercial and marketing information with the use of telecommunication terminal equipment and so-called automatic calling systems. I select the following form of communication via electronic messages (e-mail, SMS/MMS, Internet services, including social networks, push notifications).
Basic information regarding the processing of personal data for marketing purposes
Data Controller
Medicover Sp. z o. o, Al. Jerozolimskie 96, 00-807 Warsaw
Processing purposes
marketing of own products and services [including profiling]
marketing of Medicover Poland* products and services [including profiling]
Legal basis for processing
Your consent
Rights related to data processing
the right to withdraw consent to the processing of personal data/li>
the right to access personal data
other rights referred to in the detailed information on data processing
Data recipients
Entities processing personal data on behalf of Medicover Sp. z o. o
Detailed information on processing
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