Application for the Disclosure of Protected Health Information The Application for the Disclosure of Protected Health Information should be completed whenever a study involves the need for the disclosure of protected health information from a covered entity. The HIPAA Application can be accessed electronically through the IRB PHIRST application. A hardcopy of the HIPAA application should only be submitted for modifications to previously approved studies or for those studies seeking approval from WIRB. Johns Hopkins Authorization for Disclosure of Health Information The Johns Hopkins Authorization for Disclosure of Health Information must be used for all JHSPH studies where PHI is being obtained from a Johns Hopkins covered entity pursuant to the participants' agreement. For those studies requiring a hardcopy submission of the HIPAA forms, the applicable HIPAA forms, along with a copy of your Research Plan and consent forms (if applicable) should be submitted to the Office of Graduate Education and Research, Research Regulations Specialist, W1033, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, Maryland 21205. If you have questions about completing the HIPAA forms, please contact Margi Joshi at mjoshi@jhsph.edu or 410-502-0433. | 
