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Consent form for holistic body therapy

Personal details

Date of birth
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Day
Year


Privacy Policy

The entity responsible for processing your personal data is Praxis Andrea Klibor, Nüschelerstrasse 49, 8001 Zurich.


In order for Praxis Andrea Klibor to fulfil the treatment agreement established between you and the practice, it is necessary to collect certain personal data relevant to providing an effective and appropriate therapy.


The collection and processing of your personal data primarily serve the following purposes:

  • Your medical treatment

  • The fulfilment and administration of the treatment agreement

  • The administrative management of the agreement and billing for services rendered (e.g. via your health insurance provider)


Your personal data will also be processed:

  • To comply with legal documentation requirements (patient record keeping)

  • To protect against legal claims arising from this treatment agreement


Praxis Andrea Klibor treats your personal data confidentially and discloses it only to third parties listed in this Privacy Policy.


External Service Providers

For administrative processing, Praxis Andrea Klibor uses an external software provider (Pharmed Solution). These external service providers may have access to your personal data as part of their duties but are contractually bound to maintain strict confidentiality. In this context, your personal data may be disclosed to the following recipients:

  • Accountants in connection with bookkeeping and invoice preparation/distribution

  • Tax advisors, if required for tax filing purposes

  • IT service providers engaged by Praxis Andrea Klibor

  • Debt collection agencies, if enforcement of outstanding payments becomes necessary

  • Law firms, in the event of a dispute arising from this contractual relationship


Your personal data may also be shared with:

  • Insurance companies (e.g. health insurance, accident insurance, disability insurance, etc.)

  • Physicians involved in your treatment, but only with your prior consent


Communication via Email and Messenger Services

Communication via unencrypted email carries the risk that data may be lost, intercepted, or manipulated. Even when using encrypted email, full confidentiality cannot be guaranteed. The same applies to messenger services. Praxis Andrea Klibor cannot ensure the confidentiality of communications via unencrypted email or messenger services.

If you contact Praxis Andrea Klibor via email, messenger, or similar platforms, it will be understood as your consent to the use of these communication channels. Praxis Andrea Klibor also reserves the right to contact you through these channels.

 

By signing this Privacy Policy, you expressly consent to the processing and disclosure of your personal data in accordance with this document. In connection with the disclosure of your personal data, you expressly release Praxis Andrea Klibor from professional confidentiality obligations.

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