Topics Map > HIPAA
Guidance on HIPAA Requirements for WIRB Submissions
- Requirements for Separate Authorization Forms
- Adding Sponsor Statement to the HIPAA Authorization Form
- Shared Meriter/UW WIRB Deferral HIPAA Authorization Template
- Banking HIPAA Authorization
- HIPAA Related Presentations
- Institutional templates must be used.
- All HIPAA language must be removed from the consent documents.
H. Sponsor Additional Information
The following information is from the sponsor of this study about how the sponsor will use and protect your health information from this research. Federal privacy laws do not generally apply to the sponsor's use of your health information. UW-Madison and its researchers cannot guarantee that the sponsor's statement is correct, complete, or current. The sponsor's use and protection of your health information from this study is the responsibility of the sponsor, not UW-Madison and its researchers.
Add the sponsor statement(s) here as indented text.
End of sponsor statement.
Meriter/UW HIPAA Authorization Template.
HIPAA Related Presentations
For additional assistance regarding HIPAA requirements, contact:
Rebecca Hutton, J.D., M.S.
UW-Madison HIPAA Privacy Officer
Office of the Provost
Room 150 Bascom Hall
500 Lincoln Drive
Madison, WI 53706
For more information about UW HIPAA requirements, see http://hipaa.wisc.edu/ .