Follow the steps to successfully complete your request form

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. In the requestors' section, fill in your name, title, department, email address, and eRaider ID. If there are multiple requestors, ensure you complete each section with the corresponding details.
3. Indicate whether the data to be stored/accessed contains Protected Health Information (PHI) or Personally Identifiable Information (PII) by selecting ‘YES’ or ‘NO’. If ‘NO’, note that PHI shared folders cannot be authorized for non-PHI/non-PII data.
4. If the data is part of research, select ‘YES’ and attach the Institutional Review Board (IRB) approval letter along with any other relevant documentation such as waiver forms.
5. Determine if the data supports Texas Tech University Health Sciences Center (TTUHSC) business operations by selecting ‘YES’ or ‘NO’.
6. Each requestor is required to attach a HIPAA Completion Certificate, which can be acquired from the TTUHSC ACME testing site.
7. In the data owner (sponsor) or data designee section, only the data owner may request a new PHI shared folder or add users to an existing folder. Fill in their name, title, department, email address, and eRaider ID.
8. If requesting a new PHI shared folder, choose ‘YES’ and enter the existing or desired shared folder name.
9. To signify approval, ensure to return the completed request form along with an email indicating an ‘approved’ request to the provided email address.
10. Once the form is completed, save your changes. You can download, print, or share the form as necessary.

Complete your Shared Folder Access Request Form online today for efficient access management.