Get the free Permission to Use Personal Health Information for Research

This document is designed to obtain permission from subjects to use and release their personal health information for research purposes in compliance with state and federal privacy laws.

How to fill out permission to use personal

How to fill out Permission to Use Personal Health Information for Research

1. Obtain the Permission to Use Personal Health Information for Research form from your institution or relevant authority.
2. Read the instructions carefully to understand the purpose of the form.
3. Complete the researcher information section, including your name, title, and contact information.
4. Provide details about your research project, including the title, objectives, and methodology.
5. Clearly outline the type of personal health information you intend to use and how it will be collected and stored.
6. Specify the duration for which the permission is requested.
7. Include any measures that will be taken to protect the privacy and confidentiality of the individuals whose data will be used.
8. Sign and date the form, confirming that all information provided is accurate and complete.
9. Submit the completed form to the relevant authority for review and approval.

Who needs Permission to Use Personal Health Information for Research?

1. Researchers who are conducting studies involving personal health information.
2. Healthcare professionals seeking to utilize patient data for research purposes.
3. Institutions or organizations involved in health research that require access to personal health information.

People Also Ask about

What is the waiver of authorization for HIPAA research?

An IRB can grant a Waiver of HIPAA Authorization to permit use and/or disclosure of PHI for research purposes, without obtaining authorization. An IRB may also approve an alteration of the requirements of written HIPAA Authorization provided the research meets the criteria for waiver or alteration (see info below).

Is HIPAA authorization required for research?

Yes. Under the Privacy Rule, a patient's authorization is for the use and disclosure of protected health information for research purposes.

What is written permission from individuals to use and disclose their protected health information?

Authorization. A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.

Do you need HIPAA authorization for research?

Although it is in most cases preferable to get permission to use an individual's Protected Health Information, HIPAA permits research using PHI without obtaining consent (called Authorization by HIPAA).

What is the HIPAA rule for research?

Under the HIPAA Privacy Rule, covered entities may use or disclose protected health information from existing databases or repositories for research purposes either with individual authorization as required at 45 CFR 164.508, or with a waiver of individual authorization as permitted at 45 CFR 164.512(i).

What is the HIPAA security rule for research?

Answer: Informed consent is required under federal research regulations for the protection of human subjects. The HIPAA Privacy rule, a different regulation, separately requires that patients give written Authorization before a covered entity may use or disclose patients' protected health information for research.

What requires HIPAA authorization?

A covered entity must obtain the individual's written authorization for any use or disclosure of protected health information that is not for treatment, payment or health care operations or otherwise permitted or required by the Privacy Rule.

What language is a HIPAA authorization in?

The authorization form must be written in plain language to ensure it can be easily understood and as a minimum, must contain the following elements: Specific and meaningful information, including a description, of the information that will be used or disclosed.

For pdfFiller’s FAQs

What is Permission to Use Personal Health Information for Research?

Permission to Use Personal Health Information for Research is a formal consent that allows researchers to access and utilize individuals' personal health data for the purpose of conducting medical studies, evaluations, or other research initiatives.

Who is required to file Permission to Use Personal Health Information for Research?

Researchers and institutions conducting studies that involve accessing or using personal health information must file for Permission to Use Personal Health Information for Research, ensuring they comply with legal and ethical standards.

How to fill out Permission to Use Personal Health Information for Research?

To fill out the Permission to Use Personal Health Information for Research, individuals should carefully complete the designated form by providing details such as the purpose of the research, type of information requested, participant consent, and safeguarding measures to ensure data privacy.

What is the purpose of Permission to Use Personal Health Information for Research?

The purpose of Permission to Use Personal Health Information for Research is to protect individuals' privacy while allowing researchers to obtain and use vital data that can lead to advancements in medical science, healthcare practices, and overall public health.

What information must be reported on Permission to Use Personal Health Information for Research?

The information that must be reported includes the research goals, types of personal health information required, methods of data protection, duration of data usage, and how participants will be informed about their rights and the study.