Medizinische Hochschule Hannover : Private consultation

Please use the following form to request a non-binding appointment with the private consultation of Prof. Prof. h.c. Dr. med. Thomas Lenarz.

After submitting the form, you will receive a confirmation e-mail. By clicking on the link contained therein, you agree to the processing - we will get back to you as soon as possible!

Appointment request (non-binding)

Appointments for private ENT consultations

Salutation:

Your title:

First name:

Last name: *

Date of birth:

E-mail: *

Phone number: *

Is this your first visit?:

Are you coming because of complaints? If yes, where do you have these complaints?:

Ear

Nose

Throat

This appointment is only possible with private health insurance. Yes, I have private health insurance.

Prof. Lenarz and his team of senior physicians offer private consultations on the following days: - Monday : Consultation hour of the senior physicians of the ENT Clinical Department - Tuesday: Consultation hour of the senior physicians of the ENT Clinical Department - Wednesday: Consultation hour Prof. Lenarz - Thursday: Consultation hour of the senior physicians of the ENT Clinical Department - Friday: Consultation hour of the senior physicians of the ENT Clinical Department. - Please select your preferred date for an appointment in the ENT private consultation. Please note that this is not a binding booking for this selected date.:

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. *

Data protection information

By activating the checkbox and submitting the form, I have taken note of the following information obligations, which fully inform me 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. Access to the data is granted to the private consultation of Prof. Prof. h.c. Dr. med. Th. Lenarz, ENT Clinical Department.

Purpose of data collection
My data will be used to contact me for the purpose of making an appointment.

If I send files (images and documents) via this form, I consent to the processing of this data. 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 these exclusively for personal healthcare purposes.

Disclosure of the data
My personal data will be disclosed

within the MHH exclusively to those areas and persons who need this data to fulfill contractual and legal obligations or to implement the legitimate interest of the MHH.

Storage
My data will be stored after collection by the private consultation of Prof. Prof. h.c. Dr. med. Th. Lenarz for as long as is necessary to fulfill the purpose. As a rule, this means that my personal data will be deleted or anonymized once the request has been completed. Existing retention obligations and periods will be observed.

Revocation
In the event of revocation, my data that I have provided via the contact form will be deleted.

Legal
In the data protection information linked here, I have taken note of the rights regarding the personal data concerning me in accordance with the GDPR.