Order form for copies of medical records at LUX MED

The controller of your personal data is LUX MED sp. z o.o., with its registered office in Warsaw 02-676 at ul. Postępu 21 C (hereinafter "LUX MED"). If you are a LUX MED patient and have filled in the form above, please be advised that we process your data to enable you to order your copy of the medical records. Providing data is voluntary but necessary for proper verification of your identity and providing the ordered copies of medical records. In all matters related to the processing of your personal data you may contact our Data Protection Officer by writing to daneosobowe@luxmed.pl. Click here to read the full text of the information obligation.