Exempt Study form applies only to the following one group:
This form must be completed for all studies that do not meet the criteria for full review by the RRIC.
If the answer to all the above questions is "no", then please complete the Exempt Study Form to apply for an exemption.
If study participants are CancerCare Manitoba patients or significant others for whom participation in the study may cause anxiety or emotional distress, it is recommended that the following paragraph be included in the information for participants. Sign off from the Director of Patient and Family Support Services will also be required.
"Participation in this study may be upsetting or distressing to you as you recall your own illness experience, or the experience of your family member. If you would like to talk to someone about this, there is support available through CancerCare Manitoba Patient and Family Support Services. Please call 204-787-2109 or toll free 1-800-561-1026, or ask the research study staff to refer you."
Manitoba's Personal Health Information Act (PHIA) was legislated June 28, 1997. CancerCare Manitoba, as a trustee, shall protect personal health information by adopting reasonable administrative, technical, and physical safeguards that ensure the confidentiality, security, accuracy and integrity of the information.
As a trustee, CancerCare Manitoba will limit on amount of information used or disclosed. Every use and disclosure by a trustee of personal health information must be limited to the minimum amount of information necessary to accomplish the purpose for which it is used or disclosed.
It is important that research studies comply with the Act to:
PHIA Orientation & Pledge Forms (Note: The PHIA orientation and pledge forms are only required if you have not received prior PHIA training)
If you answered "no" to question 8.3 on the RRIC Submission form and/or question 8 on the PHIA form for research, please complete the PHIA Checklist and PHIA Pledge. All completed forms must be submitted to the Health Information Services Privacy Office (ON2092 - 675 McDermot Avenue)
For questions about forms, submission dates, and the submission process, please contact RRIC.Coordinator@cancercare.mb.ca (RRIC Coordinator). The RRIC submission forms are available in the Forms section. If you are uncertain whether a study or chart review needs to be reviewed and approved by the RRIC, please contact RRIC Coordinator.