Medizinische Hochschule Hannover : Contact form

Registration for a naturopathic consultation

First appointment for a personal introduction

Important requests:

Bring a referral for radiotherapy/integrative oncology (except in the case of private patients or STR/MHH patients already in this quarter)
Send your physician's letter in advance by email if you are not an MHH patient
If necessary, send a list of dietary supplements in advance by email or bring it with you
30 minutes before the first appointment, admission to room 9, building K7, radiotherapy, level H0

Contact form

Last Name: *

First name: *

Date of birth: *

Telephone number: *

E-mail address: *

Concern/question of the patient: *

Diagnosis / cancer:

Treating Oncologist/Clinical Department:

Insurance status (no influence on the appointment allocation, only for organizational processing):

Upload of documents (optional), as PDF, max. 10 MB:

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

Information obligations and Data Protection

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. The employees of the Klaus Bahlsen Center for Integrative Oncology and the Comprehensive Cancer Center (CCC) Hannover have access to the data.

My data will be used to contact me and organize the consultation. 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 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 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 by the MHH, Klaus-Bahlsen-Center for Integrative Oncology for as long as necessary to fulfill the purpose for which it was collected. 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, I have taken note of my legal rights with regard to the personal data concerning me in accordance with the GDPR.