{"id":2304,"date":"2026-05-13T15:33:38","date_gmt":"2026-05-13T12:33:38","guid":{"rendered":"https:\/\/demetdemircioglu.com\/?page_id=2304"},"modified":"2026-05-13T15:36:17","modified_gmt":"2026-05-13T12:36:17","slug":"digitalonamformu","status":"publish","type":"page","link":"https:\/\/demetdemircioglu.com\/fr\/digitalonamformu\/","title":{"rendered":"Dijital Onam Formu"},"content":{"rendered":"<p class=\"gtfy-1\"><div class='fluentform ff-default fluentform_wrapper_3 ffs_default_wrap'><form data-form_id=\"3\" id=\"fluentform_3\" class=\"frm-fluent-form fluent_form_3 ff-el-form-top ff_form_instance_3_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_3_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Blank Form (#3)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='2304' \/><input type=\"hidden\" id=\"_fluentform_3_fluentformnonce\" name=\"_fluentform_3_fluentformnonce\" value=\"3f7b2499ac\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/fr\/wp-json\/wp\/v2\/pages\/2304\" \/><div class='ff-el-group  ff-custom_html' tabindex='-1' data-name=\"custom_html-3_1\" ><p><strong>G\u0130R\u0130\u015e\u0130MSEL TEDAV\u0130 VE ENJEKS\u0130YON UYGULAMALARI<\/strong><br \/><strong>AYDINLATILMI\u015e ONAM FORMU<\/strong><\/p>\n<p><strong>Say\u0131n Hastam\u0131z,<\/strong><\/p>\n<p>Taraf\u0131ma; kas-iskelet sistemi hastal\u0131klar\u0131, eklem rahats\u0131zl\u0131klar\u0131, yumu\u015fak doku yaralanmalar\u0131, romatizmal hastal\u0131klar, spor yaralanmalar\u0131, n\u00f6rom\u00fcsk\u00fcler hastal\u0131klar, kronik a\u011fr\u0131 sendromlar\u0131, sinir s\u0131k\u0131\u015fmalar\u0131 ve fonksiyon kayb\u0131na neden olan durumlar\u0131n tan\u0131, tedavi ve rehabilitasyonu amac\u0131yla uygulanabilecek giri\u015fimsel i\u015flemler hakk\u0131nda ayr\u0131nt\u0131l\u0131 s\u00f6zl\u00fc ve yaz\u0131l\u0131 bilgilendirme yap\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p>Bu kapsamda taraf\u0131ma uygulanabilecek i\u015flemler aras\u0131nda;<\/p>\n<p>\u2022 \u0130ntraartik\u00fcler (eklem i\u00e7i) enjeksiyonlar<br \/>\u2022 Periartik\u00fcler (eklem \u00e7evresi) enjeksiyonlar<br \/>\u2022 Kas i\u00e7i enjeksiyonlar<br \/>\u2022 Tetik nokta enjeksiyonlar\u0131<br \/>\u2022 Tendon, ba\u011f, bursa, fasya ve di\u011fer yumu\u015fak doku enjeksiyonlar\u0131<br \/>\u2022 Sinir \u00e7evresi enjeksiyonlar\u0131<br \/>\u2022 Aspirasyon \/ ponksiyon i\u015flemleri<br \/>\u2022 Ultrasonografi e\u015fli\u011finde giri\u015fimsel i\u015flemler<br \/>\u2022 PRP (Platelet Rich Plasma) uygulamalar\u0131<br \/>\u2022 Ozon uygulamalar\u0131<br \/>\u2022 Proloterapi uygulamalar\u0131<br \/>\u2022 Hyaluronik asit enjeksiyonlar\u0131<br \/>\u2022 Kortikosteroid enjeksiyonlar\u0131<br \/>\u2022 Botulinum toksin uygulamalar\u0131<br \/>\u2022 Rejeneratif ve biyolojik enjeksiyon uygulamalar\u0131<\/p>\n<p>yer alabilece\u011fi taraf\u0131ma a\u00e7\u0131klanm\u0131\u015ft\u0131r.<\/p>\n<p>\u0130\u015flemler s\u0131ras\u0131nda lokal anestezikler, kortikosteroidler, hyaluronik asit preparatlar\u0131, PRP, ozon, dekstroz sol\u00fcsyonlar\u0131, botulinum toksin, serum fizyolojik ve benzeri medikal \u00fcr\u00fcnlerin kullan\u0131labilece\u011fi konusunda bilgilendirildim.<\/p>\n<p>Taraf\u0131ma;<\/p>\n<p>\u2022 \u0130\u015flemin amac\u0131 ve uygulan\u0131\u015f \u015fekli,<br \/>\u2022 Beklenen faydalar\u0131,<br \/>\u2022 Alternatif tan\u0131 ve tedavi se\u00e7enekleri,<br \/>\u2022 Tedaviyi kabul etmemem durumunda ortaya \u00e7\u0131kabilecek olas\u0131 sonu\u00e7lar,<br \/>\u2022 Olas\u0131 komplikasyonlar ve riskler,<br \/>\u2022 \u0130\u015flem sonras\u0131 dikkat edilmesi gereken durumlar<\/p>\n<p>ayr\u0131nt\u0131l\u0131 \u015fekilde anlat\u0131lm\u0131\u015ft\u0131r.<\/p>\n<p>Bu i\u015flemlere ba\u011fl\u0131 olarak;<\/p>\n<p>\u2022 Ge\u00e7ici veya kal\u0131c\u0131 a\u011fr\u0131 art\u0131\u015f\u0131,<br \/>\u2022 Morarma, k\u0131zar\u0131kl\u0131k, \u015fi\u015flik, hassasiyet,<br \/>\u2022 Kanama veya hematom geli\u015fimi,<br \/>\u2022 Enfeksiyon,<br \/>\u2022 Ba\u015f d\u00f6nmesi, tansiyon de\u011fi\u015fiklikleri, bay\u0131lma hissi,<br \/>\u2022 Alerjik reaksiyonlar,<br \/>\u2022 Sinir, damar, tendon, ba\u011f veya di\u011fer yumu\u015fak doku yaralanmalar\u0131,<br \/>\u2022 Ge\u00e7ici uyu\u015fma, his kayb\u0131 veya kuvvet kayb\u0131,<br \/>\u2022 \u0130\u015flem sonras\u0131 beklenen faydan\u0131n elde edilememesi,<br \/>\u2022 Hastal\u0131\u011f\u0131n ilerlemesi veya \u015fikayetlerin devam etmesi,<br \/>\u2022 Ek tedavi, ek enjeksiyon veya cerrahi gereksinimi,<br \/>\u2022 Nadiren ciddi n\u00f6rolojik, vask\u00fcler veya sistemik komplikasyonlar<\/p>\n<p>geli\u015febilece\u011fi taraf\u0131ma a\u00e7\u0131klanm\u0131\u015ft\u0131r.<\/p>\n<p>Uygulanacak i\u015flemlerin t\u0131bbi gereklilik do\u011frultusunda hekim taraf\u0131ndan planlanaca\u011f\u0131, i\u015flem s\u0131ras\u0131nda gerekli g\u00f6r\u00fclmesi halinde y\u00f6ntem, uygulama b\u00f6lgesi veya tedavi plan\u0131nda de\u011fi\u015fiklik yap\u0131labilece\u011fi konusunda bilgilendirildim.<\/p>\n<p>Taraf\u0131ma uygulanacak giri\u015fimsel tedavilerin kesin ba\u015far\u0131 garantisi ta\u015f\u0131mad\u0131\u011f\u0131, tedavi sonu\u00e7lar\u0131n\u0131n ki\u015fiden ki\u015fiye de\u011fi\u015febilece\u011fi ve baz\u0131 durumlarda birden fazla seans uygulanmas\u0131n\u0131n gerekebilece\u011fi taraf\u0131ma a\u00e7\u0131klanm\u0131\u015ft\u0131r.<\/p>\n<p>Bilinen t\u00fcm hastal\u0131klar\u0131m, kulland\u0131\u011f\u0131m ila\u00e7lar, kan suland\u0131r\u0131c\u0131 tedaviler, gebelik durumum, alerjilerim ve mevcut sa\u011fl\u0131k sorunlar\u0131m hakk\u0131nda hekimimi do\u011fru ve eksiksiz \u015fekilde bilgilendirdi\u011fimi kabul ederim.<\/p>\n<p>\u0130\u015flem s\u0131ras\u0131nda ve sonras\u0131nda taraf\u0131ma \u00f6nerilen t\u0131bbi tavsiyelere uymamam halinde ortaya \u00e7\u0131kabilecek olumsuz sonu\u00e7lar hakk\u0131nda bilgilendirildim.<\/p>\n<p>Ki\u015fisel sa\u011fl\u0131k verilerimin; tan\u0131, tedavi, takip, yasal y\u00fck\u00fcml\u00fcl\u00fckler ve sa\u011fl\u0131k hizmetlerinin y\u00fcr\u00fct\u00fclmesi amac\u0131yla ilgili mevzuata uygun \u015fekilde kay\u0131t alt\u0131na al\u0131nabilece\u011fi ve saklanabilece\u011fi konusunda bilgilendirildim.<\/p>\n<p>Doktoruma soru sorma f\u0131rsat\u0131 buldum. T\u00fcm sorular\u0131m anlayabilece\u011fim \u015fekilde cevapland\u0131. Yeterli d\u00fc\u015f\u00fcnme s\u00fcresine sahip oldu\u011fumu, i\u015flemi kabul etmeme veya istedi\u011fim a\u015famada durdurma hakk\u0131m oldu\u011funu biliyorum.<\/p>\n<p>Bilgilendirme metnini okudum, anlad\u0131m ve kendi \u00f6zg\u00fcr iradem ile uygulanacak giri\u015fimsel tedavi ve enjeksiyon i\u015flemlerini kabul ediyorum.<\/p><\/div><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_first_name_' id='label_ff_3_names_first_name_' >Ad<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_3_names_first_name_\" class=\"ff-el-form-control\" placeholder=\"Zorunlu\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group ff-el-form-top'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_3_names_last_name_' id='label_ff_3_names_last_name_' >Soyad<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_3_names_last_name_\" class=\"ff-el-form-control\" placeholder=\"Zorunlu\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Hasta Onay\u0131\">Hasta Onay\u0131<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_bca822c8692b179a5f22fe2009462a0b'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Bilgilendirme metnini okudum ve anlad\u0131m.\"  id='checkbox_1_bca822c8692b179a5f22fe2009462a0b' aria-label='Bilgilendirme metnini okudum ve anlad\u0131m.' aria-invalid='false' aria-required=true> <span>Bilgilendirme metnini okudum ve anlad\u0131m.<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_1e640ef30b390a5aa1752a77bf7ea638'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Sorular\u0131m\u0131 sorma f\u0131rsat\u0131 buldum. \"  id='checkbox_1_1e640ef30b390a5aa1752a77bf7ea638' aria-label='Sorular\u0131m\u0131 sorma f\u0131rsat\u0131 buldum.' aria-invalid='false' aria-required=true> <span>Sorular\u0131m\u0131 sorma f\u0131rsat\u0131 buldum. <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label' for='checkbox_1_3e65d8729323cf3b9fe73afb1e36ec0c'><input  type=\"checkbox\" name=\"checkbox_1[]\" data-name=\"checkbox_1\" class=\"ff-el-form-check-input ff-el-form-check-checkbox\" value=\"Uygulanacak giri\u015fimsel i\u015flemleri kabul ediyorum.\"  id='checkbox_1_3e65d8729323cf3b9fe73afb1e36ec0c' aria-label='Uygulanacak giri\u015fimsel i\u015flemleri kabul ediyorum.' aria-invalid='false' aria-required=true> <span>Uygulanacak giri\u015fimsel i\u015flemleri kabul ediyorum.<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper ff_submit_btn_wrapper_custom'><button class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\" type=\"submit\" name=\"custom_submit_button-3_2\" data-name=\"custom_submit_button-3_2\"  aria-label=\"Okudum, Onayl\u0131yorum\">Okudum, Onayl\u0131yorum<\/button><style>form.fluent_form_3 .ff-btn-submit { background-color: #67C23A; 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