Terms and Conditions

Consent for Transfer of Personnel Data to Advanced Medical Services

Parties

1. COMPANY NAME(company registration number [COMPANY NUMBER]) (“Data Controller”);
2. Advanced Medical Services, Birchgrove, Ballyorban, Monkstown, Co. Cork, Monkstown, Cork, T12NPX7, (“Data Processor”).

 

Background

• By signing this form, I, as the Data Subject, hereby provide my express consent to the processing of my personal data as described in the Privacy Notice accompanying this form, by the Data Controller and Data Processor.
• I acknowledge that the Personal Data which relate to my person represent the so-called personal data (including special category data) within the meaning of the Regulation 2016/679 of the European Parliament and the Council (EU) of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement on such data and repealing Directive 95/46/EC (“GDPR”).
• At the same time I declare that I am at least 18 years old.
• I further acknowledge and understand that I, as the Data Subject, am not obliged to consent to such collection, use, processing and transfer of personal data to the Data Processor. However, failure to provide the consent may affect my ability to participate in the Occupational Health Department’s medical assessments and may affect my employment with the Company. Moreover, the manner which my medical file is stored, will also be affected in circumstances where I do not consent to the transfer my data to the Data Processor.

 

Transfer of Data to the Data Processor

• I acknowledge that by providing my express consent that the Company will transfer Personal Data to the Data Processor to host, store and manage my medical file retained by the Occupational Health Department. By virtue of this occurrence, no physical file will be maintained onsite by the Occupational Health Department. I further acknowledge and understand that the Data Processor and its sub processors (as described in the Privacy Notice) is located within Ireland and that the Company nor the Data Processor will transfer any Personal Data outside of the European Economic Area (EEA).
• In consideration of the foregoing, as Data Subject, I, hereby authorise the Data Controller, Data Processor and sub processors to receive, possess, use, retain and transfer the Personal Data, in electronic or other form, for the purposes of implementing, administering and managing the Data Subject’s participation in the Occupational Health Department’s activities, including any requisite transfer of such Personal Data as Consent form for Personal Data Transfer
  may be required for the administration of the Occupational Health Department’s activities as described in the Privacy Notice.
• As Data Subject, I understand that I may, at any time, do the following:
  • Review the Personal Data;
  • Require any necessary amendments to it or
  • Withdraw the consent herein in writing by contacting the Company;

However, by withdrawing, as Data Subject, I hereby acknowledge and understand, such action will affect the manner of storage of my Personal Data held by the Company as described in the Privacy Notice.

By continuing to use this system, you accept the following:

• I hereby provide my express consent to the above terms concerning the transfer of my Personal Data to the Data Processor
• I do not consent to the above terms in respect of the Transfer of my Personal Data