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Declaration of consent

This declaration of consent concerns both personal data and conditions for cancellation and non-attendance. It is important that you can approve what is written before we continue our process.

Cancellation and no-show

In case of non-attendance or cancellation later than 8 am the day before the agreement, the full amount is charged. If you are an insurance patient, however, the amount you will be invoiced is DKK 350 – this is part of the psychologist's agreement with Prescriba.

Consultation guarantee

There is always the option to change the appointment to an online interview when you cannot attend, even at the last minute. It is a good solution in the event of, for example, illness or other obstacles - then you do not lose time and the opportunity to check in on the treatment. The advantage is that you don't need to download anything to get on. The instructions are in your confirmation email and reminder. If there are challenges, just call the psychologist and we can arrange it.

Processing of your information

As the data controller in connection with psychological treatment of you, I am obliged to collect and process a number of personal data about you, cf. the Psychology Act and Order on orderly records for psychologists.

Here I describe how in this connection I use and in some cases pass on your personal data. And you have the option to give consent. 

Types of information

I collect and process the following types of personal data about you (to the extent that it is relevant for you):

General categories of personal data:

  • Name, address, e-mail address, phone number, social security number, gender, possibly family relations and social relations, work relations and education.

Special categories of personal data ("sensitive personal data"):

  • Health information where relevant.



When I collect personal data directly from you, you provide the personal data voluntarily. You are not obliged to provide this personal data to me. The consequence of not giving me the personal data will be that I cannot fulfill the purposes below, including that I will not be able to treat you.



I process your personal data for the following purposes:

  • My treatment of you

  • Billing purpose - to you or the person paying (parent, insurance company)

  • Journalizing our conversations

  • Compliance with my obligations under applicable law - see above. 


Sharing of personal data

In the event that the doctor, the school, or other professionals want to pass on your personal data and health information, I will ask for a separate consent to pass on. 

If you have come to me in connection with an insurance case, the necessary personal data will be passed on to the insurance company. In the process, there may be a need to pass on information about the number of treatments and the status of the treatment process, both continuously and at the end. This is to ensure that you, as a client, can receive treatment to which you are entitled according to your insurance conditions, including:

  •  get assigned more hours

  •  extension of the grant period

  •  min settlement with the insurance company in connection with your course


However, I do not pass on the content of our conversations to the insurance company.


Withdrawal of consent

Consent can be withdrawn at any time. You can revoke your consent by contacting me directly by email or phone. The consequence of withdrawing your consent is that you can no longer receive the treatment from me. If I am required by law to disclose personal data, I am still obligated based on your consent prior to withdrawal.

Use of data processors

Your personal data is processed and stored by our data processors, who store it on behalf of and according to instructions from us. Our data processors/sub-processors are currently:

  • Therapist booking for appointment booking, contact details, correspondence and psychologist records as well as invoicing (when it is not the insurance that pays).

  • in relation to financial Accounting.


Storage and deletion policy

I store personal data about you as long as I need to carry out the purposes I describe above.  Furthermore, in accordance with § 15 of the Record-keeping Order, I am obliged to store these for a minimum of 5 years after the latest addition to the record. Cases may arise where I am forced to store your personal data for a longer period of time, e.g. in connection with a complaint or compensation case, in which case information will be stored until the case is finally concluded.

Your rights

You have - with the limitations of the law - certain rights, including 

  • the right to access personal data,

  • the right to have incorrect information changed, 

  • the right to have information deleted, 

  • the right to receive limited information, 

  • the right to have your data handed over, and 

  • the right to object to the processing of the personal data.


In relation to deletion, however, this right is modified by the Executive Order on psychologists' duty to keep orderly records. The order stipulates that no deletions may take place in patient records, but only corrections and additions.


You also have the right to complain to a competent supervisory authority, including the Data Protection Authority.



If you have any questions regarding the processing of your personal data or the exercise of your rights, you are welcome to contact me on mobile 29 82 64 17 or email

Address information for the clinic:

Bækkely Psychologist and Consultant

Vester Vejrupvej 9


Date: 1 June 2023

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