Name*

Surname*

Nationality*

Age

Gender

Email*

In accordance to that established in the Article 13 of the (EU) Regulation 2016/679 of the European Parliament and of the Council of the 27th of April 2016 relative to the protection of people with respect to the treatment of their personal details and of the free circulation of them , we hereby inform you that your details will be treated by CENTRO MÉDICO SALUS BALEARES SL to include you in a distribution list with the aim to provide you with information regarding prevention campaigns and health promotions, whose basis of legitimacy is based on your consent. Your details will not be transferred to third parties nor transferred internationally. You have the right to access your personal details; request the rectification of incorrect details; request their suppression; oppose them or limit their treatment; or request the portability of your details. In order to exercise these rights you can contact in writing including a copy of your NIE or documentation that identifies you, to the following address: Avenida Alfonso Puchades, 8 de Benidorm 03501 (Alicante) or via e-mail to rgpd@clinicabenidorm.com.
You can obtain additional and detailed information regarding the protection of personal data in CENTRO MÉDICO SALUS BALEARES SL, by accessing our privacy policy.

 ☐ I accept that you may use my contact details for the reception of electronic communications from CENTRO MÉDICO SALUS BALEARES SL for publicity purposes (news and health promotions of HCB).