GDPR Consent

Please fill out the GDPR consent in order to perform the first review

Name

Last name

OIB

date of birth

On the basis of the General EU Regulation on the protection of personal data, I agree that Dentalis Art doo, Kneza Branimira 71/A, 10 000 Zagreb, will use the following data for diagnostic and medical purposes:

I agree to take personal data, medical history, photos, recordings and take prints for medical analysis and documentation

I agree to the use of photo documentation for medical-scientific, professional or educational purposes, whereby the patient's identity will not be revealed to the general public

I agree to X-rays for the purpose of necessary diagnostics

The therapy plan is part of the patient's medical documentation

I confirm that I understood everything, and that I signed this statement in full consciousness and voluntarily

Date

Signature

dentalis art.

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GDPR Consent