Use and Disclosure of PHI in Research

UNC HCS staff who are requested to provide access or disclose PHI for research purposes documented in records in their custody must assure that the following completed documentation has been provided to the MIM Department Research Section:

  • Form HD974 (Request for Access to Protected Health Information for Research Purposes);

  • SARF (Systems Access Request Form), if applicable, signed by the Principal Investigator listed on the IRB Approval Letter;

  • IRB approval letter AND

    • Authorization signed by the patient (or copy of informed consent document signed before 4/14/03). A copy of the consent/authorization form must be sent to the Medical Information Management Department to be filed; OR

    • IRB Waiver of Authorization/Informed Consent (or copy of IRB waiver of informed consent approved prior to 4/14/03).