PAPER SUPPLEMENT Waiver Request, HIPAA Authorization

Mar 12, 2020 · PAPER SUBMISSIONS should NOW BE SUBMITTED by EMAIL RATHER THAN CAMPUS MAIL (SEE INSTRucTIONS BELOW) 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 patient’s Protected Health Information (PHI) for research or similar purposes ................
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