Boston Children's Hospital

Archives User Agreement

Boston Children’s Hospital values privacy and respect for personal information about its patients, employees and staff. Our business, research, and financial information is also considered confidential. Boston Children’s Hospital Archives will consider all applications for access to its holdings. However, some materials held in the archives may require further review and consultation prior to information being released, to ensure compliance with privacy laws. When requesting access to archival holdings, requesters first need to complete this application which will be reviewed and processed by Archives staff.


Permission to examine material will only be granted to researchers upon completion of this application form and agreement to abide by the Archives Policies and Procedures. Permission is granted subject to any restrictions placed on the material by applicable laws, the donors or depositors. Boston Children’s also reserves the right to deny or restrict access to archival material at any time if in its judgment it is necessary, reasonable or appropriate to do so.

If you are acting on behalf of Boston Children’s Hospital or one if its affiliates please indicate below.

Please email the following information to archives@childrens.harvard.edu with subject: Reseracher application

List the Record Groups and/or describe the type of information you wish to access or research onsite.

Select all that apply

Privacy or Internal Review Board Review

Has a Privacy or Internal Review Board reviewed a similar request for your research? If so, select appropriate option below

Provide a description or your research and state the purpose of your inquiry in detail.

List name of individual(s) or organization(s) information will be shared with.

Proposed date of researcher visit or date information is needed by:

I agree to abide by all requirements, terms, and conditions imposed by Boston Children's Hospital upon my use of the archival material. Further, in consideration of my being granted permission to examine archival material on the terms set forth above, I agree to indemnify and hold harmless Boston Children's Hospital, its officers, employees, and agents from and against all claims and actions arising out of my use of the manuscripts and other archival material.


I understand that the materials to which I have requested access may contain protected health information (PHI) as defined in the Privacy Rule of the Health Insurance Portability and Accountability Act (HIPAA). If I require access to a specific series of patient-centered records, e.g. casebooks, autopsy logs, etc., I understand that I must provide appropriate consent and authorization, which may also include a waiver of authorization if this is an IRB approved study. However, if I detect any PHI during the course of my research in non-patient records at the Boston Children’s Hospital Archives, I agree to take no notes on the PHI and agree not to re-disclose the PHI to any other party.


I understand that the materials to which I have requested access may also contain information of a confidential or private nature. In this case I also agree to not take any notes on this confidential material or to disclose this information to others. I understand that if I request copies of materials from the Archives that have any PHI or confidential data in them, this information will be redacted unless prior authorization has been obtained from the patient, student or staff member.

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