HIPAA

Forms, Templates, and Logs Related to HIPAA

• Accounting of Disclosures Log
• Data Use Agreement
• Internal Data Use Agreement (For use by Yale University researchers when requesting limited data sets for research purposes from databases and repositories owned by Yale University)
• Providing Access to Protected Health Information for Research Purposes
• Research Authorization Form
• Research Authorization Form (Spanish version)
• Request for Access to Protected Health Information for a Research Purpose
• Researcher's Guide to HIPAA Privacy

For additional HIPAA-related information, visit Yale’s HIPAA website.