Statistikberatung

All fields marked with an asterisk * have to be completed.

General information

1. Applicant

Applicant *	Mr. Ms.
Name *
First Name *
Academic title
Hospital / Institute / Department *	University Medical Center Freiburg: Others/External medical center/institute:
Phone *
Email *	Please retype your email adress for verification

2. Type of work *

Research project

Postdoctoral theses (Habilitation)

Doctoral theses (Dissertation)

Consultant *
Hospital / Institute / Department *
Phone *
Email *
Referee *
Hospital / Institute / Department *
Phone *
Email *

4. Collaboration with the Clinical Trials Unit (ZKS) at the University Medical Center Freiburg? *

yes

planned

5. Do you conduct Health Services Research and need special support? *

yes

Purpose

Purpose / Questions to the consultant *

Notes / Comments

Your contact data concerning your statistical consultation will be stored at the Institute of Medical Biometry and Statistics (IMBI), Medical Center - University of Freiburg. The data will be stored in order to be able to contact you as the reference person for your consultation case. The legal base for this is Article 6 (1) b of the EU General Data Protection Regulation.

On collaborations with the Center Clinical Studies of the Medical Center - University of Freiburg (ZKS) data can be forwared to the ZKS Biometry unit.

The data collected in addition to the contact data (e.g. type of study) serves the purpose of more efficient data processing at the IMBI and conducting statistical analyses and evaluations of our consulting work.

Since it happens frequently that further consultations are requested, we store the contact and additional consultation data for the duration of three years starting from the date of the completion of the consultation. Data from cases that were never closed will be deleted after a period of 10 years.

You can request access to the stored data at any point in time (for better data transfer also in a format that is machine-readable), as well as correct stored data (e.g. after a change in address or name) and also request a deletion of the data. If you revoke your consent to the storage of your data or request restrictions in the processing of your data, this will be treated like a deletion request.

For any requests regarding your data, please contact:

(studberat@imbi.uni-freiburg.de)

Additionally you can contact the data protection commissioner of the Medical Center - University of Freiburg (datenschutz@uniklinik-freiburg.de).

Please bear in mind that data of patients of the Medical Center - University of Freiburg must be processed within the framework of the data protection regulations of the Medical Center - University of Freiburg. Please refrain from any unsolicited data transmission via email, even when identifying data like name, date of birth, address and PIZ have been erased from the data. Should you believe a data transmission to be absolutely necessary for a successful consultation, please ask your personal consultant about the proper proceedings for this before taking any action.