Onlif Clinic
Simple Consultation Request
If you select a treatment item, we will assist you quickly.
Request Consultation
Consent Form for Collection, Use, and Third-Party Provision of Personal Information
Consent to Collection, Use, and
Provision of Personal Information to Third Parties
The information you enter in this consultation request will be collected and used by the "Company," and may be provided to a third party depending on the outcome of the consultation.
The information you enter in this consultation request will be collected and used by the "Company," and may be provided to a third party depending on the outcome of the consultation.
▪ Consent to Collection and Use of Personal Information (Required)
Purpose of Collection and Use
Receiving consultation requests, consultation for procedures via phone, text message, and KakaoTalk, and
guidance on medical appointments at affiliated medical institutions, management of consultation history
Receiving consultation requests, providing procedure consultations
via phone, text, and KakaoTalk,
guiding appointments with
affiliated medical institutions, and managing consultation history
Receipt of consultation application,
Guidance on treatment consultation and appointment scheduling at affiliated medical institutions via phone, text, and KakaoTalk,
Consultation history management
Collected Items
(Required) Name, Mobile Phone Number
(Optional) Preferred Consultation Time
(Required) Name, Mobile Phone Number
(Optional) Preferred Time for Consultation
(Required) Name, mobile phone number
(Optional) Preferred time for consultation
Period of Retention and Use
1 year from the date of collection
(Destroyed without delay upon achievement of purpose or withdrawal of consent)
1 year from the date of collection
(Destroyed without delay
upon achievement of purpose or withdrawal of consent)
1 year from the date of collection
(To be destroyed without delay
upon achievement of purpose or withdrawal of consent)
You have the right to refuse consent. However, if you do not agree to the required items, your consultation request cannot be submitted. You can still submit the request without filling in the optional items.
You may refuse to consent. However, if you do not agree to the mandatory items, your consultation request will not be accepted.
You can still apply even if you do not enter the optional items.
▪ Consent to Provision of Personal Information to Third Parties (Required)
Recipient
Affiliated medical institutions
that offer the treatment you consulted about
Affiliated medical institutions
that offer the treatment you consulted about
Affiliated medical institutions
that offer the treatment you consulted about
Recipient's purpose of use
Medical appointment · reception and
medical consultation
Medical Appointment · Reception and
Medical Consultation
Appointment & Registration
and Medical Consultation
What's provided
Name, Mobile Phone Number,
Preferred Consultation Time Window
Name, Mobile Phone Number,
Preferred Consultation Time
Period of retention and use by the recipient
1 year from the date of provision
(In the case where treatment is provided by visiting the clinic, clinical information is kept for the period in accordance with the "Medical Service Act")
You may refuse to consent; however, if you do, you will not be connected for appointments or consultations with affiliated medical institutions.
You may refuse to consent; however, if you do, we will not be able to connect you with affiliated medical institutions for
appointments or consultations.
▪ Consent to Receive Marketing Information (Optional)
I agree to receive promotional information such as company events and treatment information through □ Text Message □ KakaoTalk □ Phone Call □ Email.
Even if you do not agree, consultation requests and information will be provided normally, and you can withdraw your consent at any time through the unsubscribe instructions in the messages you receive.
You may refuse to consent; however, if you do, we will not be able to connect you with affiliated medical institutions for
appointments or consultations.