{"id":4317,"date":"2023-05-18T00:02:18","date_gmt":"2023-05-17T21:02:18","guid":{"rendered":"https:\/\/drgoksel.co.uk\/?page_id=4317"},"modified":"2023-05-18T00:02:18","modified_gmt":"2023-05-17T21:02:18","slug":"kvkk_form","status":"publish","type":"page","link":"https:\/\/drgoksel.com\/eng\/kvkk_form\/","title":{"rendered":"KVKK_Form"},"content":{"rendered":"\n<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f4315-o1\" lang=\"tr-TR\" dir=\"ltr\" data-wpcf7-id=\"4315\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/eng\/wp-json\/wp\/v2\/pages\/4317#wpcf7-f4315-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u0130leti\u015fim Formu\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"4315\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"tr_TR\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4315-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<body>\n\t<style>\n* {\n box-sizing: border-box;\n}\n\ninput[type=text], select, textarea {\n width: 100%;\n padding: 12px;\n border: 1px solid #ccc;\n border-radius: 4px;\n resize: vertical;\n}\ninput[type=tel], select, textarea {\n width: 100%;\n padding: 12px;\n border: 1px solid #ccc;\n border-radius: 4px;\n resize: vertical;\n}\ninput[type=\"date\"]:valid {\n color: black;\n}\ninput[type=\"radio\"]:checked {\n background-color: #ffffff;\n}\n\nlabel {\n padding: 12px 12px 12px 0;\n display: inline-block;\n}\n\ninput[type=submit] {\n background-color: #04AA6D;\n color: white;\n padding: 12px 20px;\n border: none;\n border-radius: 4px;\n cursor: pointer;\n float: right;\n}\n\ninput[type=submit]:hover {\n background-color: #45a049;\n}\n\n.col-25 {\n float: left;\n width: 25%;\n margin-top: 6px;\nmargin-left: 0px;\n}\n\n.col-75 {\n float: left;\n width: 75%;\n margin-top: 6px;\n}\n\n\n.container {\n border-radius: 5px;\n background-color: #f2f2f2;\n padding: 20px;\n}\n\n\/* Clear floats after the columns *\/\n.row:after {\n content: \"\";\n display: table;\n clear: both;\n}\n\n\/* Responsive layout - when the screen is less than 600px wide, make the two columns stack on top of each other instead of next to each other *\/\n@media screen and (max-width: 600px) {\n .col-25, .col-75, input[type=submit] {\n width: 100%;\n margin-top: 0;\n }\n}\n\t<\/style>\n\t<h1 class=\"center-bar-title\">THE DIRECT CONSENT DECLARATION OF THE PATIENT<br \/>\nPATIENT CANDIDATE ABOUT THE PROCESSING OF THE PERSONAL DATA OF THE DATA OWNER\n\t<\/h1>\n\t<p>I have read the <a class=\"fusion-modal-text-link\" data-toggle=\"modal\" data-target=\"#myModal\" href=\"#\"><b><u>\u201cIlluminating Policy on the Protection and Processing of Personal Data\u201d<\/u><\/b><\/a> which has been prepared by surgeon Abd\u00fclkadir G\u00f6ksel and <b>I accept that I was illuminated on the topics of;<\/b> all the detailed data of mine that is in the policy being processed, the ways of gathering my personal data and their judicial reasons, purposes of my personal data being processed, the third person, institution, foundation and corporations to whom my personal data is transferred and the reasons of this transfer, the subjects that require my direct consent and that I can always take back the direct consent which I have given, my rights on the protection of my personal data and how can I use them.\n\t<\/p>\n\t<div class=\"row\">\n\t\t<div class=\"col-25\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-218\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-218\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-218\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p><b>I am accepting, with my free will and direct consent,<\/b> that the use of my communication data by Surgeon Abd\u00fclkadir G\u00f6ksel Clinic for the clinical service that has been given and to make the publicity, announcement and informing which is related to the business operations that are conducted.\n\t<\/p>\n\t<div class=\"row\">\n\t\t<div class=\"col-25\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-58\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-58\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-58\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p>I am accepting, with my free will and direct consent, that the photographs and video recordings of mine that has been taken before, after and\/or during the operation, can be used at Youtube, Instagram, Facebook and similar social media sites and can be shared on corporate Web site and can be used in clinical and scientific publishing, meetings and scientific educational actions.\n\t<\/p>\n\t<div class=\"row\">\n\t\t<div class=\"col-25\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-338\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-338\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-338\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<h2><b><u>THE ONE WHO GIVES CONSENT \/ LEGAL DELEGATE:<\/u><\/b>\n\t<\/h2>\n\t<div class=\"row\">\n\t\t<div class=\"col-25\">\n\t\t\t<p><label for=\"fname*\" class=\"required\">Name,Surname: (<span style=\"color:red;\">*<\/span>)<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-75\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"firstname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"firstname\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-25\">\n\t\t\t<p><label for=\"fname*\" class=\"required\">Phone: (<span style=\"color:red;\">*<\/span>)<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-75\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gsm\"><input size=\"40\" maxlength=\"11\" minlength=\"10\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"(___) ___ ____\" value=\"\" type=\"text\" name=\"gsm\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-25\">\n\t\t\t<p><label for=\"display-name\" class=\"required\">Passport or ID number: (<span style=\"color:red;\">*<\/span>)<\/label><br \/>\n<span id=\"tcspan\"><br \/>\n<\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-75\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tckimlik\"><input size=\"40\" maxlength=\"11\" minlength=\"7\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"tckimlik\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"row\">\n\t\t<div class=\"col-25\">\n\t\t\t<p><label for=\"date*\" class=\"required\">Date: (<span style=\"color:red;\">*<\/span>)<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-75\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-297\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-297\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-229\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-229\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read, understood and approve this. By filling out this form, I give my own free will, clear permission and consent..<\/span><\/label><\/span><\/span><\/span><br \/>\n<input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n\t<\/p>\n<\/body><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"43\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4317","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>KVKK_Form - Op. 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