Forms for Retrospective Chart or Database Research
4. Retrospective research using PHI collected from a deceased patient's records (if patients were deceased prior to the study)
Research Administration Forms
1. MCH Application for Research
2. MCH IRB Submission Form
3. Protocol or description of the study
4. Data Collection Form or List of Database Fields
5. Curriculum Vitae (CV) for all investigators*
6. Human Subjects Protection Training Certificate, for all investigators*
*if not already on file
HIPAA Form
1. Form 4 - Application for Research on Decedents
Submit to Office of Research Administration for Determination of Exemption or Expedited Review.
If you feel study is exempt, submit Claim of Exemption Form.