Who we are
An independent fast-growing Phase I-IV Clinical Research Center.
Purpose of this notice
We respect the privacy of personal information and understand that importance of keeping this information confidential and secure. This notice describes how we protect the confidentiality of the personal information we receive and who will see your information if you participate in a research study.
Authorization to Release information for Research
If you are volunteer to take part in a research study. You have the right to know that others may know your identity. Study information may identify you in the following ways (name, address, telephone number, social security number and other details about you.)
Who may use and give out information about you?
The study sponsor may see your health information and know your identity. Sponsors include any person or company working for or with the sponsors or owned by the sponsors. The following agencies and business may get information from us which shows who you are:
• Doctors and health care professionals taking part in the study.
• U.S Food and Drug Administration (FDA)
• Government agencies in other countries
• Government agencies that must receive reports about certain diseases.
The reviewing Institutional Review Board
What information may be used and shared?
If you decide to be in the study, medical information that identifies you and relates to your participation in this study will be created. This may include the following types of information:
• Physical examination results
• Blood and Urine test.
• X-rays.
• Pregnancy test.
• Any other test requires by the study.
• Medical history and/or medical records you provide to us.
Why is this information used or shared?
Information about you and your health that might identify you may be given to others to carry out the research. The sponsors will collect, Analyze and evaluate the results of the study and send this information to FDA for drug approval. In addition, the sponsor and its sponsor and its consultant will be visiting the research site to monitor the study and they will be reviewing your information for this purpose.
What if I decide not to give permission to use my health information?
By signing this authorization form, you are giving permission to use and give out the health information listed above for the purposes described above.
If you refuse to give permission, you will not be able to participate in this research study.
May I review or copy the information obtained from me or created by me?
You have the right to review and copy your health information. However, if you decide to be in this study you will not be allowed to look at or copy your information until after the research is complete.
May I withdraw or revoke (cancel) my permission?
You may withdraw or take away your permission to use and disclose your health information at any time. You do this by sending written notice to the study doctor. If you withdraw your permission, you will not be able to continue in the study. When you withdraw your permission, no new health information might identify you will be gathered after the date. Information that has already been gathered may still be used to others. This would be done if it were necessary for the research to be reliable.
Is my health information protected after it has been given to others?
If you sign the information consent for a research study, you are giving permission to give others your personal health information and therefore this information may no longer be protected. There is a risk that your health information will be released to others without your permission.