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This form should be completed to determine whether a study is eligible for a HIPAA waiver or alteration (federal HIPAA regulations and similar state law provisions allow the Institutional Review Board to approve access to and use of protected health information through this waiver).

* View Word doc Last Updated | 4-3-23 10:59 a.m.

Document Details

Version Effective Date Change Notes
1.00 2/27/2023 New form to support Hutch IRB.  Replaces HIPAA Supplement and Waiver of Authorization (0206).