HIPAA Quick Reference
Guide For Employees
13.0 Trusted Requestor Process
How do I request PHI
from departments in the Medical Center, including Information Services,
Patient Accounts, Medical Records, Radiology, Pathology, or TSI?
Individuals wishing to request PHI for uses other than treatment and
payment must complete a trusted requestor form and submit it to the
HIPAA Program Office for approval. If the data request is for
research purposes then a copy of the Unviersity of Chicago
Institutional Review Board (IRB) research protocol approval letter and
submission forms must be included.
More information about the trusted requestor process and a copy of the
form are available by clicking on the following links:
Trusted
Requestor Process Instructions
Trusted
Request Form