Consent for the processing of personal data in connection with providing information to support the design of a clinical trial

 
I hereby consent to the processing of my personal data, including sensitive health-related data, by JJP Biologics Sp. z o.o., with its registered office in Warsaw (hereinafter referred to as the “Data Controller”), for the purpose of conducting a survey related to the design of a clinical trial.

  1. Personal Data Controller

    The controller of my personal data is JJP Biologics Sp. z o.o., with its registered office in Warsaw, located at ul. Bobrowiecka 6, 00-728 Warsaw. The Data Controller can be contacted via email at rodo@jjp.bio.

  2. Purpose of Personal Data Processing

    My personal data will be processed for the following purposes:

    • Collecting information necessary for designing the clinical trial.
    • Collecting information to understand the patient’s opinion regarding their experiences during diagnosis, treatment, medical and ancillary care, and quality of life.
  3. Legal Basis for Data Processing
    My personal data will be processed based on the following legal grounds: • My explicit consent (Art. 6(1)(a) in conjunction with Article 9(2)(a)  of the European Parliament and Council Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data (GDPR)).data for scientific research purposes in accordance with the GDPR provisions (Art. 9(2)(j)).
  4. Scope of Processed Personal Data

    The following categories of my personal data will be processed:

    • Identification data: first name, last name, date of birth.
    • Contact data: email address, phone number.
    • Health-related data: feelings regarding the course of the disease and its treatment.
  5.  Processing of Sensitive Data (Health Data)

    I am aware that my health-related data is considered sensitive according to the GDPR provisions (Art. 9), and its processing is necessary for the purposes related to conducting the survey. I understand that providing this data is voluntary but essential for completing the survey and designing the clinical trial.

  6. Data Retention Period

    My personal data will be stored for the period necessary for the purpose(s) specified in point 2 (i.e., analyzing survey results and designing the study). After this period, the data will be securely deleted or anonymized in accordance with the data minimization principle and purpose limitation. If you withdraw your consent to the processing of your personal data earlier, we will promptly delete your personal data.

  7. Rights of the Data Subject

    I have been informed that I am entitled to the following rights:

    • The right to access my personal data.
    • The right to rectify my personal data if it is inaccurate or incomplete.
    • The right to erase my personal data (“right to be forgotten”) in cases provided by law.
    • The right to restrict the processing of my personal data.
    • The right to data portability, if applicable.
    • The right to withdraw my consent to the processing of my personal data at any time, without affecting the lawfulness of processing based on the consent before its withdrawal.
    • The right to lodge a complaint with a supervisory authority (President of the Personal Data Protection Office) if I believe that the processing of my personal data violates legal provisions.