Appendix of Forms
or
including: Sample Written Statement of Information Practices
Sample Consent Form
Sample Withdrawal of Consent Form
Sample Confidentiality Agreement
Sample Consent to Disclose Personal Health Information Form
Sample Form to Request Access to Personal Health Record
Sample Letter for Extension to Comply with Request
Sample Refusal of Access Letter
Sample Request Form for Correction to Personal Health Record
Sample Application to Research Ethics Board
Sample Consent Form for Study Participant
Sample Consent Form for Fundraising
Sample Withdrawal of Consent Form for Fundraising