Villa Stuart Private Clinic
Dear User,
To ensure the protection of personal data and/or health-related data as well as the confidentiality of information concerning patients/users of Eurosanità S.p.A., the submission of requests for information regarding medical care received and/or ongoing, as well as the submission of reports, must comply with the procedures and terms indicated below.
the requester and/or reporter must send an email to the following email address [email protected]; attaching the form “SUBSTITUTE DECLARATION OF NOTORIETY (art. 46, D.P.R. 445/2000) REQUESTS FOR INFORMATION AND/OR REPORTS – DATA SUBJECT” (Attachment 1) duly signed and accompanied by a copy of a valid identity document and health card.
the requester and/or reporter must send an email to the following email address [email protected]; attaching the form “SUBSTITUTE DECLARATION OF NOTORIETY (art. 46, D.P.R. 445/2000) REQUESTS FOR INFORMATION AND/OR REPORTS – AUTHORIZED REPRESENTATIVE” (Attachment 2) duly signed and accompanied by the appropriate authorization “AUTHORIZATION FORM” (Attachment 3) signed by the authorizing party as well as a copy of a valid identity document and health card of both the authorizing party and the authorized representative.
In case of verified legitimacy of the requests and/or reports received, a response will be provided by Eurosanità S.p.A. within thirty days from the date of receipt of the request.
In case of illegitimacy of the requests and/or reports received, Eurosanità S.p.A. will reject the request, communicating the outcome and reasons to the potential interested party.
It is understood that:
Please note the exclusive responsibility of the requesting party and/or the authorizing party and/or authorized representative regarding false and misleading statements contained in the forms indicated above.