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Physician data

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Last Name
Physician License Number:
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Ordering Data

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VAT:
Address:
Phone:




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I confirm that the data entered is real and I accept the Data Protection and Privacy Statement.
Date: 28 / 04 / 2017

     


Edificio IBBTEC, en el Parque Científico Tecnológico de Cantabria c/ Albert Einstein 22 – 39011 Santander, Cantabria. Spain. TEL. +34 942 266 318

Data Protection and Privacy Statement
The Centre requesting the test shall through the relevant clinician or health professional request the patient’s authorization in relation with his personal data protection. Also, the Centre shall be responsible for the confidentiality and data protection of the above-mentioned data in accordance with Regulation (EU) 2016/679 of 27 April 2016 (GDPR), we inform you that the Regulation (EU) 2016/679 of 27 April 2016 (GDPR), with Organic Law (ES) 15/1999 of 13 December (LOPD) and Royal Decree (ES)1720/2007 of 21 December (RDLOPD), on Personal Data Protection and other applicable health-related legislation with the aim of protecting the patient’s rights contained in that legislation. Also, the Centre shall request the patient through his clinician or health professional involved, his informed consent on the test to be undergone in line with Law 41/2002. of 14 November, regulating the patient’s autonomy and his rights and obligations in the area of clinical information and documentation, as well as its implementing legislation and any other relevant regional legislation .WARNING: The document stating the patient’s informed consent must be duly signed in all of its pages. If you would like to request access to or have a correction made to personal information that we may have collected from you, please contact to GENETRACER BIOTECH S.L. C/Albert Einstein 22, Edificio IBBTEC, PCTCAN 39011 SANTANDER (CANTABRIA) or info@genetracerbiotech.com.