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What is the difference between a waiver of authorization and an altered authorization?

altered Authorization waiver
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What is the difference between a waiver of authorization and an altered authorization?

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A waiver of authorization refers to an IRB allowing the investigator to forgo obtaining permission from subjects to use their PHI for research purposes. In contrast, an altered authorization means that subjects have been asked to allow use of their PHI for research, but one or more of the core elements of the authorization have been altered (e.g., signature).

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