HIPAA Forms
WMREF IRB Checklist for Authorization to Use and Disclose PHI for Research Purposes.doc
Size: 32 KB
WMREF IRB Checklist for Authorization to Use and Disclose PHI for Research Purposes
WMREF Authorization to Use and Disclose PHI for Research Purposes.doc
Size: 41.5 KB
WMREF Authorization to Use and Disclose PHI for Research Purposes
WMREFIRBHIPAAApplicationforWaiverofAuthorizationofDisclosureofPHI.doc
Size: 32 KB
WMREF IRB HIPAA Application for Waiver of Authorization of Disclosure of PHI
WMREFIRBHIPAADe-IdentificationCertificationForm.doc
Size: 32 KB
DO NOT COMPLETE IF AUTHORIZATION WILL BE OBTAINED
OR WAIVER OF AUTHORIZATION IS REQUESTED

Researcher use of UKSM-W forms

WMREF accepts forms from the UKSM-W website. These forms can be located at http://wichita.kumc.edu/afs/compliance/forms.html  . If you have questions about using these forms contact the WMREF Office at 316-686-7172.