Form: Member Family

*
*
*
*
*
*
*
*

Beneficiaries

*
*
*
*
+
Relationship Name Last name Date of Birth DNI / NIE / Passport Remove

Please, write down in the field below the result of this operation (using numbers, not letters), to show you are not a robot: Fourteen Minus Zero

Send

In accordance with the provisions of the REGULATION (EU) 2016/679 of personal data protection, we inform you that the data you provide us will be incorporated into the treatment system owned by Clínica Excelan Marbella S.L. with CIF B93185858 and registered office located in Plaza Joaquín Gómez Agüera, 5, 29601, Marbella (Málaga), with the purpose of contacting and responding to your inquiry or request, as well as processing the request for a membership pre-contract.

We will treat the data in a lawful, loyal, transparent, adequate, relevant, limited, accurate and updated way. Unless you tell us otherwise, we understand that your data has not been modified and that you agree to notify us of any changes. We also inform you that the personal information provided will not be transferred or communicated, even for its conservation, to third parties.

In accordance with the rights conferred by the current regulations, you have the rights of access, rectification, limitation of treatment, deletion, portability and opposition to the processing of their personal data and revoke the consent given, directing your request to the indicated address or by email on info@clinicaexcelan.com and you may contact the competent Control Authority to submit the claim it deems appropriate.

If you check the box you give your consent to the processing of your data for the aforementioned purpose.

Our website uses cookies to improve the user experience. If you continue to browse, we understand that you accept our cookie policy.
For more information, please refer to our Cookies Policy. I agree