I confirm that I am 18 years of age or older and have the legal capacity to submit this request.
By submitting this form, I consent to the collection and processing of the personal information I provide (including my last name, first name, telephone number, email address and the content of my message) by Dr ROMANO Valeria's practice exclusively for the purpose of processing my request, contacting me, scheduling an appointment or following up on our communications.
This information is processed in the strictest confidence, in accordance with the applicable Swiss data protection legislation and medical professional confidentiality obligations. It is neither sold nor rented, nor disclosed to third parties for commercial purposes. It may only be shared with technical service providers acting on behalf of the practice (such as the website hosting provider or IT service providers), solely to the extent necessary for the performance of their services and subject to strict contractual confidentiality obligations, or where required by law.
The data will be retained only for the period necessary to process your request and to comply with applicable legal obligations.
I understand that this form is intended exclusively for information requests and appointment scheduling. It is not a secure means of transmitting sensitive medical information and must not be used in the event of a medical emergency.
I acknowledge that I have read the Privacy Policy and Legal Notice of the practice and that I have been informed of my rights regarding my personal data, including the right of access, rectification, restriction of processing and, within the limits provided by law, erasure.