 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| • | Authorization | |
|
| – | Participant provides authorization to use/disclose | |
| PHI as part of the informed consent process. | |
| MUST include the following elements: | |
|
| • | Specific description of the information to be | |
| used/disclosed | |
|
| • | Who may use or disclose | |
|
| • | To whom the PHI will be disclosed | |
|
| • | Why the use or disclosure is being made (each | |
| purpose) | |
|
| • | Statement of how long the use or disclosure will |
| continue | |