Important Notice: Our web hosting provider recently started charging us for additional visits, which was unexpected. In response, we're seeking donations. Depending on the situation, we may explore different monetization options for our Community and Expert Contributors. It's crucial to provide more returns for their expertise and offer more Expert Validated Answers or AI Validated Answers. Learn more about our hosting issue here.

Is there a patient authorization form for cases involving patient-specific research?

April 26, 2017Authorization cases form involving patient patient-specific Research

0

Posted

Is there a patient authorization form for cases involving patient-specific research?

1 Answer

0

Posted

Patients must sign and return the Patient Authorization to Disclose and Release Medical Information Form before the GSKRRC can contact the patient’s insurer, or otherwise initiate any patient-specific research. Signed forms may be faxed to 866-216-5292 or mailed to the GSK Reimbursement Resource Center, P.O. Box 221425, Charlotte, NC 28222-1425.