Dear Sir / Madam,

In accordance with art. 13 section 1 and 2 of the General Regulation on the Protection of Personal Data (GDPR) of April 27, 2016. we inform that the Administrator of your personal data is SMILE DESIGN CLINIC sp. z o.o. with headquarters in Warsaw 00-195, Z. Słomińskiego 5 lok. U05, NIP: 5993101765, REGON: 080317140, KRS: 0000335737, which provides medical services in two facilities: ORTO-FAN CLINIC at Jagiellońska 66, 4/4 A in Warsaw and SMILE DESIGN CLINIC at Zygmunta Słomińskiego 5 lok. U05 in Warsaw. The Personal Data Administrator can be contacted electronically by sending a message to the following address: klinika@ortofan.pl.

The Inspector for Personal Data Protection is Anna Łosiewicz, e-mail address: a.losiewicz@klinikaortofan.pl

Your personal data will be processed for the purpose of providing medical services at ORTO – FAN CLINIC or SMILE DESIGN CLINIC, pursuant to art. 9 paragraph 2 lit. h of the Regulation on the protection of personal data (GDPR) of April 27, 2016.

Your personal data will be processed for the purpose of conducting business activities related to the provision of medical services, pursuant to art. 6 para. 1 lit.b, c, f of the Regulation on the protection of personal data (GDPR) of April 27, 2016.

Your personal data may be provided by ORTO-FAN CLINIC and SMILE DESIGN CLINIC in order to provide an appropriate organization in the field of IT support or other ongoing matters. Your personal data may be provided to service providers supplying ORTO-FAN CLINIC and SMILE DESIGN CLINIC with technical or organizational solutions enabling the provision of health services as well as legal, advisory and accounting services providers.

Your personal data will not be transferred to a third country.

Your personal data will be stored for the period specified in art. 29 of the Act of November 6, 2008 on Patient Rights and Patient Rights Ombudsman and for tax purposes they will be stored for a period of 6 years from the end of the calendar year in which ORTO – FAN CLINIC or SMILE DESIGN CLINIC provided the last service for you.

You have the right to access your data, the right to rectify it, object to the processing of your personal data and the right to transfer data.

You have the right to lodge a complaint with the Supervisory Body when you believe that the processing of personal data regarding you violates the provisions of the General Regulation on the Protection of Personal Data (GDPR) of April 27, 2016. Providing your personal data is a condition for the provision of medical services by ORTO-FAN CLINIC or SMILE DESIGN CLINIC. Your data will be processed in an automated manner in ORTO-FAN CLINIC and SMILE DESIGN CLINIC patient service IT systems in connection with the maintenance of electronic medical records by the Personal Data Administrator.

Sincerely
Michał Zdybel
Warsaw, April 6, 2020

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