Patient Consent Policies and Forms
Written patient/family consent is required by most publishers, by LSU Health Shreveport, University Health (if applicable) and it meets ethical requirements.
Consent Policies and Documents
If you have questions about this information contact Fiscal Compliance Officer/Privacy Officer Debbie Miller, BSN, MSHA, CHC
Policy - LSU Health Shreveport - Use And Disclosure Of Protected Health Information For Research - 2015-08-05
Policy - LSU Health Shreveport - De-Identification Of Protected Health Information - 2015-08-05
FORM - LSU Health Shreveport - Authorization for Use and Disclosures of PHI for Media Purposes - 2015-08-12 - Form to use for patients seen in LSU Health Shreveport Clinics and Physician offices. Not used for University Health.
Policy - University Health - Comp 229 Uses and Disclosures for Research Purposes - Will require login with University Health Creditials to Access
FORM - University Health - ATTACHMENT A - Media Release - Will require login with University Health Creditials to Access
If you want to write about 3 or more cases please contact Allison Booth, RPh, IRB Chair, to discuss additional requirements.
Policy - HRPP and IRB Standard Operating Procedures - All SOPs.
HRP-093 Activities that Require IRB Review - see page 2 of document
Form - Use 2017-01-24 HRP-503.2-Case Report-Template for more than 3 cases for IRB-HRPP Approval to write about more than three cases which would require HRPP/IRB to review.