Additional HIPAA Information

	Downloads

Form 1: Authorization to Use or Disclose Protected Health Information Microsoft Word Form 2: Request for Waiver or Alteration of Authorization to Use or Disclose Protected Health Information in Research (Revised 1/08) Adobe PDF Form 3: Request for Waiver or Alteration of Authorization to Use or Disclose Protected Health Information in Research That Only Uses Coded Samples Microsoft Word Form 8: Investigator Representation for Review of Protected Health Information Preparatory to Research Microsoft Word Instructions for using the Review Preparatory to Research Form Microsoft Word

Contact

Milda Plioplys Telephone: (646) 962-8190 E-mail: mip2018med.cornell.edu External Address: 407 East 61st Street 1st Floor New York, NY 10065