Agreement to the Processing of Personal Data, Including Personal Data of a Particular Category

I agree that the company Český Dům KMP s.r.o., with its registered office at Mašovická 547/28, 142 00 Praha 4, IČO: 264 92 199 (hereinafter referred to as "the Company"), can process my personal data for the purpose of using their services as part of booking an appointment with a physician. The Company Český Dům KMP s.r.o. provides intermediation services in accordance with Act No. 101/2000 Coll., on the Protection of Personal Data (hereinafter referred to as the "Personal Data Protection Act"), as amended, and in accordance with Regulation No 2016/679 of the European Parliament and of the Council on the General Data Protection of Personal data of individuals with regard to the processing of personal data and on the free movement of such data (hereinafter referred to as the "General Data Protection Regulation"). I agree to processing my personal data for a maximum time of necessary within the intermediation of medical treatment process or until my consent is withdrawn.

At the same time, I agree that the Company can process my personal data and/or a specific category, specific to my health, solely for the purpose of: finding a suitable medical facility for further consultation or cooperation regarding my health.

Therefore, I explicitly agree that the Company should further provide my personal data that I have submitted, including both the name and address, and the personal data of a particular category concerning my state of health to the healthcare facilities that the Company was scouting out in the context of healthcare intermediation as well as for finding an appointment to a physician.

I confirm that I am aware of my rights related to the processing under the aforementioned legislation, both in relation to personal data and to a special category of personal data, in particular:

• The right to access to my personal data, with the right to correct or delete my personal data, possibly with a limitation of processing;
• Entitled to raise objections against the processing
• The right to data portability in a structured, commonly used and machine-readable format;
• The right to withdraw my consent of processing at any time;
• The right to file a complaint with the Supervisory Authority, which is the Office for the Protection of Personal Data.

At the same time, I confirm that I am well acquainted with the use of my personal data and its processing, incl. a particular category of personal data, in particular that my personal data is processed only to the extent that it was provided by me and only for the aforementioned purposes.

I confirm that by this, I hereby give the Company explicit consent and legitimate reason for the processing of my personal data, specific categories of data in accordance with the wording of the Personal Data Protection Act and the General Data Protection Regulation on the protection of personal data.