UW Directories | Calendar | Map | MyUW
UW logo
Skip to Main
Human Subjects Division (HSD)

Documents

Document Details

Last Updated 07/25/2014
Version 3.10
Filesize 1.11 MB
Audiences Researcher
Doc Type Form

TEMPLATE: Confidentiality Agreement

Purpose

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.

Change Notes

  • Related to Ver. 3.10, noted 07/25/2014 @ 11:17am
    Added directions about not needing signatures or Modification Forms when adding or removing study staff from an EXISTING confidentiality agreement. Please use this version going forward.
    - sherrye
  • Related to Ver. 3.00, noted 01/31/2014 @ 09:34am
    Changed instructions on face page, and added instructions stating that not everyone on the Confidentiality Agreement needs to be listed on the Application. Please use this version going forward.
    - sherrye
  • Related to Ver. 2.40, noted 01/31/2014 @ 09:33am
    Changed instructions on face page, and added instructions stating that not everyone on the Confidentiality Agreement needs to be listed on the Application. Please use this version going forward.
    - sherrye
  • Related to Ver. 2.30, noted 10/19/2013 @ 04:53pm
    Updated name to new naming convention on website.
    - sherrye
  • Related to Ver. 2.30, noted 10/09/2013 @ 01:31pm
    Fixed table with signature so that signature and date should stay on the same page.
    - sherrye
  • Related to Ver. 2.20, noted 05/31/2013 @ 09:21am
    Fixed numbering. Okay to use previous version.
    - sherrye
  • Related to Ver. 2.10, noted 10/06/2011 @ 05:33pm
    Fixed page number error in footer - okay to use earlier dated forms.
    - sherrye
  • Related to Ver. 2.00, noted 05/27/2011 @ 09:18am
    Addition of double-sided instructions, clarification of signatures needed.
    - sherrye
  • Related to Ver. 1.90, noted 03/18/2011 @ 10:47am
    Fixed footer dates.
    - sherrye