Data Use/Confidentiality Agreement Sample Contracts

Contract
Data Use & Confidentiality Agreement • January 7th, 2022

Step 1: Fill out the demographic information below for the person who is requesting access to the Ohio EPICENTER system. All of the fields must be completed to be granted access to the system.

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INSTITUTIONAL REVIEW BOARD DATA USE/CONFIDENTIALITY AGREEMENT
Data Use/Confidentiality Agreement • January 2nd, 2015

East Tennessee Children’s Hospital Institutional Review Board values and protects the confidentiality of hospital information including patient information and other information contained within the computerized information system and medical records/office charts.

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