HIPAA Authorization to Use & Disclose Protected Health Information For Clinical Research

This legal template is designed to serve as an authorization document for the use and disclosure of protected health information (PHI) in the context of clinical research activities, in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations. HIPAA regulates the privacy and security of patients' personal health information in the United States.

The template outlines the specific details and permissions required to use and disclose PHI for the purpose of conducting clinical research. It establishes the framework for obtaining the individual's informed consent and authorization, allowing the research team or organization to access and utilize relevant health information while respecting the individual's privacy rights.

The document typically includes important sections that capture the individual's authorization, including the purpose and duration of the research, a description of the information to be used or disclosed, the entities or individuals permitted to access the information, and any potential risks associated with the research. It may also include provisions to inform the individual about their rights under HIPAA, such as the right to revoke authorization and the potential limitations that may apply.

This legal template ensures compliance with HIPAA regulations and serves as a legal safeguard for both the research team and the individual participant. By establishing clear guidelines, it helps protect the privacy and confidentiality of patient health information while promoting the advancement of scientific knowledge through clinical research endeavors.