LIFE CENTER The Power to Age Beautifully Chaum

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Online Reservation
Consultation

  • Personal information collection and
    usage agreement
    Required Personal Information
    Nationality/ Name/ Gender/ Date of Birth/ E-mail Address/Contact Number/ Interest/ Object of Consultation
    Purpose of Collection and Use
    To book an appointment and conduct an online consultation for a medical examination.
    Use and Retention Period of Personal Information
    Three months
    Refusal or Consent to Collection and Use of Personal Information
    All patients have the right to refuse to give their personal information.
    Please be aware that it shall not be possible to have an online consultation service and book an appointment if you rejects to give your personal data.
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Language
Passport number
Nationality
Preferred
Time for
Consultation
-
Full Name
Gender
Date of Birth
E-Mail @
Contact
Interested
Health care
Programs
Title
Contents

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