Hipaa Privacy Authorization Agreement Sample Contracts
If you require this document in another format please contact the IRB Chair at irbchair@ung.eduHipaa Privacy Authorization Agreement • February 27th, 2017
Note: This form is used to authorize the use or disclosure (release) of health-related information that identifies you in a research study. In accordance with the HIPPA Privacy Rule, this document needs to be filled out in addition to a (potential) informed consent form (though the two may be combined).