Research Non-Employee Partner Access
> The purpose of this application is to initiate the process for Fred Hutch employees to be onboarded as non-employee "Affiliate Staff" at Seattle Children's.
> This application is ONLY for non-employees working on or directly supporting clinical research.
> If you are not working in clinical research, please email researchhr@seattlechildrens.org for further instructions.
> If you have any questions about this application, please contact partneraccess@seattlechildrens.org.
Often referred to as "Badge ID" number
Preferred name if different from "Applicant First Name"
Please include initials in the following order: first initial, middle initial (if applicable), then last initial. For example if you name is Summer Smith please include the initials "SS" or if Summer Jr. Smith then "SJS".
Notice: Your initials will be displayed in the application status tracking dashboard that will be emailed to applicants submitting new applications and extension requests.
Please only provide work email ending in "@fredhutch.org"
Your extension request requires that you review your current profile and make updates as necessary. Partner Access will send this to the email provided above. Please email us if you have any questions: partneraccess@seattlechildrens.org Thank you!
*On-site access includes network access.
Good Clinical Practice (GCP) training certification is required for all non-employee supporting research protocols.
Compliance is monitored by Seattle Children's Office of Research Compliance (ORC).
Please review the Policy List:
https://www.cancerconsortium.org/research-support/clinical-research-support/policies.html
>CITI Program course training must be renewed every 3 years
Human Subject Protection (HSP) training certification is required for all non-employee supporting research protocols.
Please review the Policy List: https://www.cancerconsortium.org/research-support/clinical-research-support/policies.html
Please upload your GCP and HSP Certification.
Incomplete applications may take longer to process.
The main purpose of this form is to match Affiliate Staff profiles to research studies to comply with Seattle Children's patient Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA).
Note - Faculty/ PI's will have a separate onboarding process that will be announced Spring 2022
FORMAT: STUDY00000000
Please provide the full or "long title"
Please provide the abbreviated study title
Note - do not list sponsor name (example "NIH" or "PI Name")
FORMAT: FH00000 Also previously known as the IR File
FORMAT: RG0000000
If date unknown, please leave blank
Select all that apply. This will generate the same series of questions for each study/role.
Please review the information provided. Based on the applicants role at Fred Hutch, the applicant is qualified and authorized to access the protected health information of Seattle Children's patients in order to carry out their duties and responsibilities as a Fred Hutch employee or contractor.