This Patient Consent Form explains the scope of the services provided by Auraliss and outlines your consent for communication, coordination and personal data processing in accordance with KVKK, GDPR and relevant health tourism regulations.
1. Purpose of the Consent
By submitting your information, you acknowledge that Auraliss provides international health tourism intermediary services only and does not operate as a healthcare facility. All medical procedures are carried out exclusively by Ministry-authorized, licensed contracted clinics.
2. Scope of Services
Auraliss may assist with communication, treatment journey planning, appointment coordination and travel timing guidance. Auraliss does not offer medical diagnosis, medical decision making or clinical treatment.
3. Acknowledgment Regarding Medical Procedures
You acknowledge that all medical evaluations and procedures are performed solely by licensed healthcare providers. Auraliss does not guarantee treatment outcomes or clinical results. All medical forms, consents and explanations are provided directly by the clinic performing the procedure.
4. Consent for Personal Data Processing (KVKK & GDPR)
By submitting your information, you consent to the processing of your personal data—including your name, contact information, inquiry details and communication history—for coordination and communication purposes.
You may request access, correction or deletion of your data at any time by contacting info@auralisshealthtour.com.
5. Optional Consent for Medical Information
If you voluntarily provide photos, X-rays or medical details, you acknowledge that this information will be shared only with licensed contracted clinics for evaluation and planning. This is optional and can be withdrawn at any time.
6. Travel and Logistics
You understand that Auraliss does not sell package tours, provide flights, hotel bookings or transport as bundled services unless otherwise agreed individually. Auraliss offers coordination only and does not provide medical advice.
7. Confirmation
By submitting this form, you confirm that you:
- Have read and understood this Patient Consent Form
- Provide your personal data voluntarily
- Understand that Auraliss is an intermediary agency, not a medical provider
- Approve communication via email, WhatsApp or phone regarding your request
Patient Information
Name and Surname: ____________________________
Phone Number: _______________________________
Email Address: _______________________________
Date: ___________________
Signature (if applicable): _______________________