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(PI LETTERHEAD)Dear (INSERT NAME OF SUBJECT),As a research participant in the following study (INSERT NAME OF STUDY), we want to inform you of important information about your access to a new University of Michigan online healthcare portal called (also called the Patient Portal). Launched on August 15, 2012, this Patient Portal offers access to portions of medical records for individuals who are patients of the hospital, as well those individuals who receive medical care by participating in research studies. The research study you are participating in requires that some information about the (CUSTOMIZE e.g.,drug or device or some other aspect of the research study) you received be withheld from you for a certain period of time. This means that when you agreed to be in the study, you gave your permission to the researcher to postpone telling you some information about the study so as not to impact the results of the research. Because the new Patient Portal, allows you to see the results of your lab and radiology tests, looking at this information may provide you details about the study that you are not meant to see at this time. In order to continue to participate in the current research study, you must agree to have access to your Patient Portal limited so that you cannot see the results of your lab and radiology tests. You will still be able to use other features of the Patient Portal such as:?Request medical appointments.?View your health summary from the electronic health record.?Request prescription renewals.?Access trusted health information resources.?Communicate electronically and securely with your medical care team.Unless you contact (INSERT CONTACT INFORMATION FOR PI/STUDY TEAM), the study team will request a change to the Patient Portal as described above. This change to your access of the results of your lab and radiology tests will be limited to the shortest time possible. If you do not agree to this change, you will need to talk to the researcher about the impact this may have for your continued participation in the study. You do not need to do anything at this time unless you wish to talk to the researcher because you have questions or because you would like to request that your access to the Patient Portal not be modified. The contact information for (INSERT NAME OF PI/STUDY TEAM) is below:(INSERT CONTACT INFORMATION)You may also contact the office at the University of Michigan that oversees this research study if you have questions about your rights as a research participant. That office, called IRBMED, may be reached at 734-763-4768 or irbmed@umich.edu. We greatly value your contribution as a participant in our research study and we are sorry for any inconvenience this temporary change may cause. Sincerely,(INSERT PI NAME) ................
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