KVKK Data Subject Application Form

The form required to be available on the site under the Communiqué on the Procedures and Principles of Application to the Data Controller (Veri Sorumlusuna Başvuru Usul ve Esasları Hakkında Tebliğ). Published on a separate page.

Applicant’s details
First name, surname / Turkish ID number (for foreign nationals, nationality and passport number) / address for service / telephone / e-mail Your relationship with the clinic: Patient ☐  I made an appointment request ☐  Visitor ☐  Other ☐ Your request: (which of the rights listed in m.11 of the Law you wish to exercise, and a description of the matter your request concerns) How you would like the response delivered: Post to address ☐  E-mail ☐  Collection in person ☐ The application may be submitted in writing to the clinic’s postal address (AD İnovasyon Sağlık Limited Şirketi, Prof. Dr. Bülent Tarcan Sk. No:6, Fulya, Şişli / İstanbul 34394), or by e-mail to info@akcadis.com from an e-mail address you have previously notified to the clinic and which is registered in our system. Applications are concluded within thirty days at the latest. If the request also entails a cost, the fee in the tariff set by the Board (Kurul) may be charged.