Information notice and consent form

You would like to use our services (more).

The Information Company is the controller of your personal and healthcare information, in compliance with the provisions of the amended French Data Protection Act 78-17 dated January 6, 1978 relative to information technology, files, and personal liberties. We collect your information to enable you to use CONCILIO Services via the website https://www.concilio.com for the following purposes:

– the identification of doctors and taking of appointments with the same,

– the preparation of your medical consultations,

– the provision of healthcare information.

This is to inform you that your personal healthcare information is securely held by an authorized « Hosting Provider of Personal Health Data », ATE, a simplified joint-stock company (SAS) with capital of 60,000 euros, whose head office is located at 21 avenue de la créativité, 59650 Villeneuve d’Ascq, and duly registered under the number 347 607 764 in the Lille Trade and Companies Registry as per the provisions of Article L. 1111-8 of the French Public Health Code. Under this law you have the right to access, change, or delete your personal information by sending an email to the following address: droit_acces@concilio.com

Your personal information, including administrative and healthcare information, is strictly for the use of the Chief CONCILIO Doctor and authorized CONCILIO personnel under his/her close supervision, as well as for the doctor you will be in contact with via our Services, and the authorized Hosting Provider of Personal Health Data, according to rules of secure and traceable access.

You agree to give your consent to our collection and processing of your personal information and healthcare information for the purpose of using the CONCILIO Services of your choice, when you click on the checkbox hereafter (via the website https://www.concilio.com)

After your administrative and healthcare data have been anonymized, they may be used in our statistical studies and reviews, in compliance with the provisions of the amended French Data Protection Act 78-17 dated January 6, 1978 relative information technology, files, and personal liberties.

We use robust security measures when we collect and use your administrative and healthcare information. This is to ensure the confidentiality, integrity, and more broadly the security of your data pursuant to the provisions of the amended French Data Protection Act 78-17 dated January 6, 1978 relative information technology, files, and personal liberties.

According to the amended French Data Protection Act 78-17 relative information technology, files, and personal liberties, you have the right to access, change, or delete your personal information. You can exercise your right by contacting us directly:

Médecin CONCILIO –  The Information Company: 20 bis Rue Louis Philippe, 92200, Neuilly-Sur-Seine, or by email droit_acces@concilio.com ;

or to the doctor of the hosting provider at the following postal address : 21 avenue de la créativité, 59650 Villeneuve d’Ascq.

You are authorized to print a copy of this information notice and consent form, should you so desire.

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CONSENT FORM

I hereby give my consent for the collection and use of my personal healthcare information in the provision of CONCILIO Services on my behalf.

I have read and accept unconditionally the General Terms and Conditions below.

Date:

Signature: