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Health Insurance Portability and Accountability Act (HIPAA)

UK HIPAA Forms

PLEASE NOTE: Researchers not in the Covered Entity may need an authorization form:

  1. to access PHI for their study; or
  2. if they are conducting part of their study in the Covered Entity.

HIPAA Instructions for all IRB Applications
(Revised 8/4/20)

  • HIPAA Authorization Regulations (Revised 8/11/14) [PDF]
  • If HIPAA Authorization is required for your research, you must use the Informed Consent/HIPAA Combined Template (as of 12/5/13) as a guide to develop your consent/authorization document; the template can be found under "All Templates" in the APPLICATION LINKS menu on the left in your E-IRB application.
  • "Form K": Request for Waiver of HIPAA Authorization Form (Revised 12/12/16)
    • PDF
      • HIPAA Guidance for Requesting and Completing Waiver of Authorization (Revised 6/4/04) [PDF]