№ files_lp_4_process_3_104435
File format: docx
Character count: 4094
File size: 101 KB
Standalone form for participants to authorize the use and disclosure of their protected health information in accordance with HIPAA and applicable federal and state regulations for a clinical research project at West Virginia University.
Year:
2026
Institution:
West Virginia University
Protocol Number:
HRP-502g
Document Type:
Research Authorization Form
Author:
West Virginia University Office of Human Research Protections
Target Audience:
Research participants
Scope:
Use and disclosure of protected health information for clinical research purposes
Expiration:
End of the research project or upon written cancellation
Regulatory Compliance:
HIPAA, FDA (if applicable), U.S. Department of Health and Human Services, Foreign Regulatory Agencies (if applicable)
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023
Region / City:
Morgantown, West Virginia
Subject:
Social Work
Document Type:
Application Form
Institution:
West Virginia University School of Social Work
Author:
West Virginia University School of Social Work
Target Audience:
Prospective Social Work Students
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Year:
2026
Institution:
West Virginia University
Document Type:
Guidelines / Instructions
Target Audience:
Student organizations
Required Documents:
Constitution/Bylaws, Tax ID Number, Student Organization Certification Form, Letter of Authorization, Meeting Minutes, Identification Forms
Process:
By appointment only
Contact:
Lexis Ring ([email protected])
Deadline:
Prior to appointment scheduling
Year:
2026
Institution:
West Virginia University
Department:
Office of Human Research Protections (OHRP)
Document Type:
Protocol Template
Intended Audience:
Research teams preparing biomedical study protocols
Document Version:
Draft/Template
Sections Included:
Study Summary, Background, Objectives, Participant Criteria, Vulnerable Populations, Recruitment Methods, Consent Process, HIPAA, Study Interventions, Data Management, Safety Monitoring, Appendices
Regulatory References:
NIH, FERPA, HIPAA
Instructions:
Remove italicized guidance and mark non-applicable sections as “N/A”
Usage Notes:
Maintain electronic copy and update revision history for approved studies
Year:
2025
Institution / Department:
West Virginia University (WVU), Office of Human Research Protections (OHRP)
Document Type:
Standard Operating Procedure (SOP)
Purpose:
Ensure awareness of updates approved by external IRBs or local investigator changes
Owner:
WVU OHRP Director
Approver:
WVU Vice President of Research
Responsible Staff:
Reliance Coordinator, IRB Staff
Scope:
External IRB submissions and local site modifications
Revisions:
None
Materials Referenced:
HRP-024, HRP-055, HRP-309, HRP-441, HRP-830, HRP-859
Procedures:
Submission of RNI and Site Modifications, review of updates, personnel qualification checks, COI and HIPAA compliance, ancillary reviews, local event reporting, finalization of documents and letters
Compliance Requirements:
IRB reliance agreements, sIRB reporting, local oversight responsibilities
Year:
2020-2021
Region / City:
Morgantown, West Virginia
Topic:
Disabilities, Education, Training
Document Type:
Handbook
Institution:
West Virginia University
Author:
Not specified
Target Audience:
WVU students pursuing health and human service degrees, trainees, and staff
Duration:
2020-2021 academic year
Approval Date:
Not specified
Modification Date:
Not specified
Year:
N/A
Region / City:
N/A
Theme:
Research, Health Information, HIPAA Authorization
Document Type:
Template
Organization / Institution:
UW Medicine, Fred Hutchinson Cancer Center
Author:
N/A
Target Audience:
Research Participants, Legal Representatives
Effective Period:
N/A
Approval Date:
N/A
Revision Date:
N/A
Note:
Year
Topic:
Research
Document Type:
Consent Form
Note:
Version Date
Year:
2013
Region / City:
United States
Topic:
Health Information Privacy
Document Type:
Regulatory Guidelines
Organization / Institution:
Department of Health & Human Services
Author:
Department of Health & Human Services
Target Audience:
Covered entities, business associates, legal professionals
Period of Validity:
Ongoing
Approval Date:
January 25, 2013
Amendment Date:
Not specified
Note:
Year
Topic:
Business Associate Agreement, HIPAA Compliance
Document Type:
Agreement
Year:
2026
Region / City:
United States
Subject:
Health information privacy
Document type:
Privacy notice
Organization:
Physician practice
Author:
Privacy Officer
Effective date:
[insert effective date]
Legal reference:
45 C.F.R. § 164.520
Target audience:
Patients
Rights covered:
Access, amendment, accounting of disclosures, confidential communications, special privacy protections
Year:
2023
Region / City:
United States
Topic:
Health Information Privacy
Document Type:
Agreement Template
Organ / Institution:
The HIPAA Journal
Author:
The HIPAA Journal
Target Audience:
Businesses handling Protected Health Information
Effective Date:
[Effective Date]
Date of Changes:
[Date of Changes]
Year:
2023
Region / City:
Philadelphia
Topic:
Research Consent Form
Document Type:
Informed Consent
Institution:
University of Pennsylvania
Author:
University of Pennsylvania Research Team
Target Audience:
Potential research participants
Study Duration:
Variable
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024
Region / City:
United States
Topic:
Health Care, HIPAA Compliance, Electronic Transactions
Document Type:
Companion Guide
Organization:
UCare
Author:
UCare
Target Audience:
Health care providers, trading partners, billing services, software vendors, financial institutions
Period of Action:
2024
Approval Date:
11/01/2024
Date of Modifications:
Not specified
Year:
2016
Region / City:
Portland, OR
Topic:
Privacy / Data Protection
Document Type:
Letter
Organization:
OHCA
Author:
Not specified
Target Audience:
Individuals whose personal data may have been breached
Effective Period:
Not specified
Approval Date:
July 26, 2016
Modification Date:
Not specified