Medizinische Hochschule Hannover : Contact the Clinical Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology

Dear patient, dear patient,

Please use the following form to cancel your appointment. A follow-up appointment will not be assigned automatically.

Cancellation of endoscopy appointment

Last Name: *

First name: *

Date of birth: *

Telephone number: *

e-mail address: *

Date of appointment: *

Time of the appointment: *

Reason for cancelation: *

I have taken note of the information obligations (see information text below the form), which inform me in full about the use of the data provided via the contact form. *

Information obligations and data protection information

I have taken note of the following information obligations, which inform me in full about the use of the data provided via the contact form: My personal data will be stored and processed on the server of the MHH data center in accordance with data protection regulations, in particular the GDPR. Employees of the Clinical Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology at Hannover Medical School have access to the data. My data will be used to organize patient appointments. In addition, the processing of the personal data provided by me serves to contact me in order to clarify my concerns. If I send files (images and documents) via this form, I give my consent for this data to be processed. This also applies to special categories of personal data transmitted by me, such as health data. In accordance with Art. 9 para. 2 lit. b) GDPR, MHH processes this data exclusively for necessary aspects relating to my request. My personal data will only be passed on within MHH to those departments and persons who need this data to fulfill contractual and legal obligations or to implement the legitimate interests of MHH. My personal data will not otherwise be passed on. My data will be stored after collection at MHH, in the Clinical Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology for as long as is necessary to fulfill the purpose. Existing retention obligations and periods will be observed. In the event of a revocation, my data that I have provided via the contact form will be deleted. In the data protection information linked under the form, I have taken note of my legal rights with regard to the personal data concerning me in accordance with the GDPR.

Please read the data protection information carefully and inform yourself about how your data is handled and about your legal rights.

Data protection information

Endoscopy