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Quick Links: HIPAA Forms for UF/Shands research HIPAA Forms for VAMC research
See the HIPAA Information page for more information about the VA Privacy Board.
Forms for Research Conducted at Shands/UF Last Updated:
 

Informed Consent Form with HIPAA Authorization elements:

03/10/2004
new

Request for Waiver of Authorization (UF/Shands version)
for (1) new or existing projects with Waiver of Documentation of Consent or full Waiver of Informed Consent, or (2) all Exempt protocols that collect/use/disclose PHI.

05/31/2012
  Certificate for Preparatory Research (UF/Shands version) 06/22/2007
 

Certificate for Research with Decedents Info (UF/Shands version).

09/20/2011
 

Disclosure Tracking Log: Research
For research that has obtained a Waiver of HIPAA Authorization.

 

Do you have a study approved by WIRB? Visit our WIRB page for information about WIRB and HIPAA.

 

 

 

 

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Updated: 05/31/2012 1:57 PM