HIPAA Supplement and Waiver of Authorization

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).

Use the following form for IRB Submissions BEFORE MARCH 22, 2023.

Use the following form for submissions in Hutch IRB, which will be launching on March 29, 2023.