BIDMC DATA REPOSITORY ACCESS REQUEST FORM
~ INSTRUCTIONS ~
- Employees ONLY: Complete the on-line HIPAA Omnibus Rule Training in the Learning Management System (LMS):
- Complete the attached form describing the types of work you will be doing that require data access. Please be sure the form is legible. Your Vice President must sign and date your completed form.
- If you have not already done so, complete the Caregroup Confidentiality Agreement.
- Fax to Decision Support at x72298
If you have any questions about how to request access, please call x72499.
If you already have access and need technical assistance to use a repository, please call IS Support at x48080.
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