Revocation and Data Subject Rights

Withdrawal and Data Subject Rights

If you have agreed to the broad consent of the Central Biobank as part of the routine examination at the UKM, you can revoke it using the form below or assert your rights as a data subject.

Withdrawal:

Your consent is entirely voluntary. You can withdraw your consent in whole or in part to the further collection and scientific use of your patient data and biosamples at any time without giving reasons and without any reprisal. Your withdrawal of consent always only applies to the future use of your patient data and biosamples. Data from analyses already performed cannot be subsequently removed. In case of withdrawal, the biosamples provided by you for research will be destroyed and your patient data stored on the basis of your consent will be deleted or anonymised, where this is legally permissible. If deletion is not possible or only possible with unreasonable technical effort, your patient data will be anonymised by deleting the identification code assigned to you. However, anonymisation of your patient data cannot entirely exclude the possibility of subsequent tracing of information, in particular genetic information, to you via other sources. You can also withdraw individual parts of the consent declaration, for example, if you wish to continue to make the patient data available for research, but have no interest in renewed contact for the purposes of subsequent collection of further data or participation in other studies.

Data Subject Rights:

You have the right to receive information about the patient data concerning you (upon request including a free copy) and, if necessary, to request its correction or deletion or restriction of processing. You also have the right to receive the data you have provided in a standardized electronic format or to have it transmitted to a person specified by you (right to data portability).

If digital transmission is not possible for you, you can also send us your request by mail:
    Universitätsklinikum Münster
    Geschäftsbereich Compliance und Versicherungen
    Albert-Schweitzer-Campus 1, Gebäude D5
    48149 Münster

Form for Withdrawal and Data Subject Rights

The following information (in combination with the copy of your identity card) is required to uniquely identify you.

Firstname *

Lastname *

Date of Birth *

Image of your Identity Card
(Please redact all information on the copy of your identity card except for your name, address, date of birth, and validity period, in order to adhere to the principle of data minimization. Your identity copy will be destroyed immediately after the identity verification and will not be stored permanently.)

The following information is required so that we can contact you in the event of any questions regarding your request.

Street + Nr *

Zip Code *

City *

EMail Address *

Phone

Please select your concern here. Multiple choices are possible. In the field comments you can express other wishes or describe your concerns in more detail.

Concerns *

Withdrawal (partial)

Withdrawal (complete)

Access (When exercising this right as a data subject, it is not necessary to provide a copy of your identity card if the information is to be sent to the address stored in our IT system.)

Rectification

Erasure

Restrict Processing

Comments

I have read the data protection declaration in accordance with Article 13 GDPR and consent to it