Get Waynesburg University Hipaa Waiver Of Authorization

This guide provides a clear and structured approach for users who need to complete the Waynesburg University HIPAA Waiver Of Authorization form online. Follow the steps carefully to ensure that all necessary information is accurately provided.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin by completing Section 1, which identifies the quality improvement study and specifies the members of the project team who will access protected health information (PHI). Make sure to enter full names and avoid leaving fields blank. If there are no applicable individuals for a field, type ‘NONE’.
3. In Section 2, indicate all elements of PHI that will be accessed for the project. Check all relevant boxes, including names, email addresses, and other identifiers. Be thorough in identifying these elements to ensure compliance with privacy regulations.
4. Section 3 asks for justification on why the project cannot proceed without access to PHI. Provide a clear and concise explanation that addresses the necessity of PHI for your study.
5. In Section 4, outline your plan to protect the identifiers from improper use or disclosure. Detail the measures you will take to ensure confidentiality and security of the data.
6. Describe in Section 5 how you plan to properly destroy identifiers at the earliest opportunity consistent with the research conduct. Discuss both paper and electronic data handling practices.
7. In Section 6, the project leader must confirm that the PHI will not be reused or disclosed improperly by signing and documenting their name and date.
8. Complete Section 7 by providing information for each capstone project team member regarding their HIPAA training. Include names, training completion dates, and certificates as applicable.
9. In the signature section, the project leader must sign with blue ink, followed by the signatures of the capstone chair and department chair. Ensure that each signature is dated appropriately.
10. Finally, print the completed form using the ‘Print Form’ button. Save it, and email the completed form to bkirby@waynesburg.edu. Mail the original signature page and any attached documents as instructed to Barbara Kirby at the provided address.

Complete your form online today to ensure a smooth submission process.