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수면다원검사 동의서 패키지_2

클리오닉 이비인후과 의원은 맞춤형 의학정보 활용 및 수집을 위하여 아래와 같이 개인정보를 수집/이용 및 제 3자 제공하고자 합니다. 내용을 자세히 읽으신 후 동의 여부를 결정하여 주십시오

Clionic Lifecare Clinic would like to collect and use your personal information as follows for personalized medical services. Please read carefully and indicate your consent.
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□ Personal Information Collection & Use
Name, Date of Birth, Contact For Personalized healthcare services during 3 years
※ You have the right to refuse consent for the collection and use of your personal information. However, if consent is refused, there may be limitations in using the full range of services provided.

위와 같이 개인정보를 수집 및 이용하는데 동의하십니까? Do you consent to the collection and use of personal information as described above? (A : agree B : disagree)

위와 같이 개인정보를 수집 및 이용하는데 동의하십니까? Do you consent to the collection and use of personal information as described above? (A : agree B : disagree)
A
B
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□ Sensitive Information Processing

Health Information for Personalized health information provision during 3 years

※ You have the right to refuse consent for the processing of sensitive information. However, if consent is refused, there may be limitations in using the full range of services provided.

위와 같이 민감정보를 처리하는데 동의하십니까? Do you consent to the processing of sensitive information as described above? (A : agree B : disagree)

위와 같이 민감정보를 처리하는데 동의하십니까? Do you consent to the processing of sensitive information as described above? (A : agree B : disagree)
A
B

* 개인정보 제3자 제공 내역 Third-Party Provision of Personal Information

(주)맥헬스케어에 개인정보를 제공하는데 동의하십니까?

Do you consent to providing your personal information to MEK HealthCare? (A : agree B : disagree)
제공 목적 : 양압기 대여 및 관리 (레즈메드, 필립스) 제공 항목 : 이름, 연락처, 수면 데이터 ; 보유 기간 : 이용 철회 시까지
Purpose: Management of CPAP machine (Resmed, Phillips devices) Items: Name, contact, sleep data / Retention period: Until member withdrawal
(주)맥헬스케어에 개인정보를 제공하는데 동의하십니까?
A
B
위 업체에서 서비스 안내 등을 위해, 위 제공되는 연락처를 이용하여 본 동의서 작성자에게 전화를 하거나 문자메시지를 발송할 수 있습니다. ※ The above company uses this information to guide you to services. If you do not consent, their staff may contact you by phone or send you a text message.
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Marketing Information Use Consent

Name, gender, mobile number, email for Event operation, advertising & promotional information delivery until healthcare information deliveryUntil member withdrawal

※ You have the right to refuse consent for marketing information use. However, if consent is refused, there may be limitations in using the full range of services provided.

위와 같이 개인정보를 수집 및 이용하는데 동의하십니까? Do you consent to the collection and use of personal information as described above? (A : agree B : disagree)

위와 같이 개인정보를 수집 및 이용하는데 동의하십니까? Do you consent to the collection and use of personal information as described above? (A : agree B : disagree)
A
B

예약 변경이나 취소 등으로 인해, 확정하신 예약 일정보다 이른 검사가 가능한 경우 일정 조정을 해드리는 것을 원하시나요? In the event of a schedule change or cancellation, would you like us to offer an adjusted appointment time if an earlier slot becomes available? (A : Yes B : No)

예약 변경이나 취소 등으로 인해, 확정하신 예약 일정보다 이른 검사가 가능한 경우 일정 조정을 해드리는 것을 원하시나요? In the event of a schedule change or cancellation, would you like us to offer an adjusted appointment time if an earlier slot becomes available? (A : Yes B : No)
A
B

선호하는 요일을 작성해주시면 연락드리도록 하겠습니다. Please write your preferred day(s) of the week so we can contact you.

선호하는 요일을 작성해주시면 연락드리도록 하겠습니다. Please write your preferred day(s) of the week so we can contact you.