Contact Information

206.667.5900

Mailing address:
Fred Hutch Cancer Center
Institutional Review Office
1100 Fairview Ave. N.
Mail Stop J2-100
Seattle, WA 98109

Contact Information

Last Modified: 09-25-24

HIPAA Supplement and Waiver of Authorization

This form should be completed to determine whether a study is eligible for a HIPAA waiver or alteration (federal HIPAA regulations and similar state law provisions allow the Institutional Review Board to approve access to and use of protected health information through this waiver).

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Document Details

VersionEffective DateChange Notes
1.002/27/2023New form to support Hutch IRB.  Replaces HIPAA Supplement and Waiver of Authorization (0206).