EyeSite Mandaluyong's Privacy Policy

CONSENT FOR PROCESSING OF PERSONAL INFORMATION

By submitting this form, I acknowledge that my personal data, including but not limited to my name, date of birth, contact number/s, and the other personal and sensitive information are processed by Eyesite Mandaluyong as my official medical documents.

I express my free and voluntary consent for EyeSite Mandaluyong to collect, process, record, organize, update or modify, retrieve, consult, use, consolidate, block, erase or destruct my personal data as part of my information. I also authorize Eyesite to share this information with other affiliate service providers to uphold my interests and/or to pursue Eyesite's legitimate interests as a medical institution, for the purposes of serving as a proof of transaction record for the needed medical procedure/s and store the information for a maximum of 15 years in a secure digital storage database with the assurance that such record will be deleted after the given time period.

In addition, I agree to voluntarily give my consent for the use of my data in the conduct of research and/or clinical study, provided that it will not divulge my personal identity and to voluntarily give my consent to use my data for advertisement, research, promotions, or for any marketing purposes, provided that it will not divulge my personal identity.

In the event that my right to amend any item in this form using the necessary form for Change of Patient's

Information is exercised, the changes sought to be incorporated shall supersede and replace all previous entries of this form.

I hereby affirm my right to be informed, object to processing, access and rectify, suspend or withdraw my personal data, and be indemnified in case of damages pursuant to the provisions of the Republic Act No. 10173 of the Philippines, Data Privacy Act of 2012 and its corresponding Implementing Rules and Regulations. I also acknowledge that I am required by Republic Act No. 11469 of the Philippines, Bayanihan to Heal as One Act and its corresponding Implementing Rules and Regulations and/or other guidelines, to provide truthful information.

For further details, please refer to the Privacy Policy published in our parent company's website: http://asianeyeinstitute.com/privacy-policy.