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titleQuestion 2.1

Ensure that all study personnel that will access the data are listed. If they will access identifying patient data (names, dates, MRNs, etc.), select ‘Yes’ under ‘Access Identifiable Data’

Section

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titleQuestion 6.1

Select ‘USC HSC - Health Sciences Associated Locations’

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Section 6a

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titleQuestion 6a.1

Select ‘Keck Hospital of USC Facilities’ and/or ‘Keck School of Medicine of USC’

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Section 9

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titleQuestion 9.1

If your study involves secondary analysis (ex. retrospective chart review), select the secondary analysis option that applies to your research. Checking one of these boxes triggers the activation of section 13, also needed for your application.

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Studies conducting retrospective review of medical records typically select the second checkbox: “Secondary Analysis. Thus study involves use of data/specimens that have been or will be collected/generated for non-research purposes (e.g., medical records, student records).”

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titleQuestion 42.3.1 (for studies recruiting subjects only)

Describe how you will contact patients (for example, sending emails to potential subjects)

Section 45

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titleQuestion 45.1

Select “USC HSC - Health Sciences Associated Locations”

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Section 45a

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titleQuestion 45a.1

Select “Keck Hospital of USC Facilities” and “Keck School of Medicine of USC”

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