You are kindly ask to fill out the application form below in a complete and clear manner and sign in order to fulfill the requests to be made within the scope of the Law on Protection of Personal Data (“KVKK”) by,

Sending via post to  Private Rumeli Hospital at Tevfik Bey Mah. Mektep Sok.No:11 Küçükçekmece – İstanbul

By sending an e-mail to through mobile signature/secure electronic signature,

You can get detailed information about the application processes by sending an e-mail to

The application shall be answered as soon as possible and within 30 days at the latest. In case the information and documents you provide us are missing or illegible, you will be contacted to clarify your application. As a result of the clarification of the application, the 30-day period, which is the time to respond to the request, will begin.

Click here for KVKK Access / Information request form