Consent form

Village Therapy is the data controller for the processing of the personal data we have received about you. You will find our contact details below.

• Ariel Andersen (Village Therapy)
• Kompagnistræde 16, 2. 1208 København K
• CVR: 43874721
• Telephone: 30136011
• Email: info@villagetherapy.dk

I hereby consent to Village Therapy storing and processing the following data during my course of therapy:

• Contact details used for medical records and bookkeeping in connection with payment, as well as in connection with contact between therapist and client
• Health information for the purpose of optimising the course of therapy (tick) 

I may contact Village Therapy at any time to request information about the collection, processing, and disclosure of my personal data. In addition, I may request access to the personal data that Village Therapy holds about me, object to the processing, and request the correction, deletion, or blocking of personal data that is inaccurate, misleading, or otherwise processed in violation of the law. All collected financial data will be deleted 6.5 years after the end of therapy. All collected health and other data will be deleted 1 year after the end of therapy.

By signing this declaration, I confirm that I:

• Agree that Village Therapy may process the aforementioned personal data about me, as described above, and that the personal data will not be disclosed to third parties.
• Have been made aware that I can complain about the processing of my personal data to the Danish Data Protection Agency, Carl Jacobsens Vej 35, 2500 Valby. Tel.: 33193200 Email: dt@datatilsynet.dk
• Agree that signing this consent form is voluntary.
• I can withdraw my consent at any time, with the consequence that Village Therapy must delete my information.
• I understand that I can have the collected data returned to me up to 6.5 years after the end of therapy, after which the data will be deleted.