UW Medicine and Fred Hutch recognizes the need for access to clinical data and/or systems to support research studies. To that end, a number of options are available to internal and external researchers.

This multipart form will expedite providing you with the most appropriate access to support your work. Part 1 collects information about you as the requester and the study for which you are seeking access to patient data (identified, de-identified or limited). Part 2 is specific to the request type (i.e. Leaf, Full EHR access, etc.). For some requesters, there may be a third part which is an attestation page.

If you need help with this form or have questions, please email: researchit@uw.edu

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