Human subjects research falls under the purview of the Madison VA Hospital and requires review and approval by the Madison VA Research & Development Committee (VA R&D) before the research can begin if any of the following conditions apply to the study:

  • There are key personnel engaged in human subjects research for this project or study under their Madison VA (Wm. S. Middleton VA Hospital) appointment.
  • The study or project enrolls, uses specimens obtained from, or involves the use of medical records of Madison VA (Wm. S. Middleton VA Hospital) patients.
  • The project or study is supported by VA funds.

2021 VA Research & Development Committee Meeting Dates

Contact Information for Madison VA Hospital

  • Research and Development Committee: 608-280-7007, VHAMADRDCOORDINATOR@va.gov
  • Research Service: 608-280-7007, VHAMADRDCOORDINATOR@va.gov
  • Research Compliance Officer: 608-256-1901, extension 17805
  • HIPAA Privacy Officer: 608-256-1901, extension 11699
  • Information Security Officer: 608-256-1901, extension 17282

VA Consent Form and HIPAA Authorization Form Template Documents

VA Consent Form Template

VA HIPAA Authorization Form Template: General

VA HIPAA Authorization Form: Data Repositories

Application for IRB Waiver of Authorization or Altered Authorization under the HIPAA Privacy Rule