Documents
Document Details
| Last Updated | 05/27/2011 |
|---|---|
| Version | 1.20 |
| Filesize | 136 KB |
| Audiences | HSD Staff, IRB Member, Researcher |
| Doc Type | Form |
| Last Updated | 05/27/2011 |
|---|---|
| Version | 1.20 |
| Filesize | 136 KB |
| Audiences | HSD Staff, IRB Member, Researcher |
| Doc Type | Form |
| 
Purpose
Use this form to request a waiver of the requirement for HIPAA Authorization. This means that you are requesting permission to access, obtain, use or disclose a research subject's Protected Health Information (PHI) for research purposes without obtaining the subject's specific authorization for that access, use or disclosure.