UW Research
Forms and Templates

HIPAA Authorization, Pregnancy, UW and Fred Hutch Cancer Center

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The purpose of this template is to create the HIPAA Authorization form that participants, parents, and/or legally-authorized representatives of participants sign to give you permission to obtain and use protected health information (PHI) of participants for research purposes.

Change Notes

New joint UW and FHCC template – 05.06.2025