Search Fred Hutch Extranet

This form describes what we will do if you give your permission to share patient information about you for use in research.

This form should be completed to determine whether a study is eligible for a HIPAA waiver (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 | 2-23-20 10:30 p.m.