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HIPAA Quick Reference Guide For Employees


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13.0 Trusted Requestor Process


bulletHow 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


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Quick Links:

Accounting of Disclosures
HIPAA Privacy Review
HIPAA Reference Sheet
Quick Reference Guide
Useful Links
HPO@bsd.uchicago.edu