Washington State law places limits and conditions on the release and use of individually-identifiable records held by the University of Washington (UW). The UW Institutional Review Board (IRB) must review and approve the research use of UW records, if those records are being accessed without subjects’ written consent, even if the research activities are reviewed by another IRB. The UW also must obtain a signed and legally-binding Confidentiality Agreement with the lead researcher (“PI”) and all individuals who will have access to the records or identifiable information extracted from them. Those individuals may include: other researchers, staff, statisticians, consultants, or others (collectively referred to as the Study Team). The Agreement must be reviewed, approved, signed on behalf of the UW, and returned to the researcher before the records can be accessed.