Research Oversight Committee: Quarterly Submission

Quarterly submission of VMC signed research informed consents and/or research HIPAA authorization forms us required when VMC patients sign a research consent and/or HIPAA form.

  1. Send a copy of all signed VMC patient consents to the ROC Coordinator since the last ROC submission (quarterly submissions are based on the last ROC approval date or the first VMC patient signed consent or HIPAA date)
    1. Submission of consents are required on a quarterly basis. The ROC Coordinator will submit copies of all consents to VMC HIM.
    2. Send a copy of all signed VMC patient HIPAA forms to the ROC Coordinator (since the last ROC submission). Submission of HIPAA forms are required on a quarterly basis. The ROC Coordinator will submit copies of all HIPAA’s to VMC HIM 
     

Form:

Use the Quarterly Submission of VMC Signed Research Consent Forms and Research Authorization Forms for quarterly ROC submissions of VMC signed research informed consent forms and research HIPAA authorization forms.  

Quarterly submission due dates are based on your ROC approval date or the first VMC patient signed consent or HIPAA date. Submissions may be via encrypted email to Research@ValleyMed.org or hard copies. Hardcopies must be mailed to the following:

Dione Froman
Research Oversight Committee Coordinator

3915 Talbot Rd S. M/S VPC 305
Renton, WA 98055
Office 425-228-3440, ext. 5768

All questions may be directed to the ROC Coordinator at Research@ValleyMed.org.