The following templates are for use with ETSU / Ballad Health collaborative research only. Please contact ORSPA for assistance with Data Use Agreements with any other entity. View the ETSU Ballad DUA Template Instruction Sheet for more information on how to fill out the templates.
Reciprocal Data Use Templates
The Reciprocal Data Use templates should be used when data will be shared from both ETSU to Ballad AND Ballad to ETSU.
- Reciprocal Data Use Agreement Personally Identifiable Information - HIPAA
- Reciprocal Data Use Agreement Personally Identifiable Information - FERPA
- Reciprocal Data Use Agreement Personally Identifiable Information – Common Rule Only
- Reciprocal Data Use Agreement Limited Data Set
- Reciprocal Data Use Agreement De-Identified Human Subjects Data
One-Way Data Transfer and Use Agreement Templates
The One-Way Data Use templates should be used when data will be shared ONLY from EITHER ETSU to Ballad OR Ballad to ETSU.
- One-Way Data Use Agreement Personally Identifiable Information - HIPAA
- One-Way Data Use Agreement Personally Identifiable Information - FERPA
- One-Way Data Use Agreement Personally Identifiable Information – Common Rule Only
- One-Way Data Use Agreement Limited Data Set
- One-Way Data Use Agreement De-Identified Human Subjects Data