Qualtrics Survey | Qualtrics Experience Management

First and Last Name

OHSU Email address

Department or Unit

Note: If you are requesting access to assets that are owned by a Department or Unit other than your own, please indicate that here.

Please choose a DAM User Profile

Casual User: Users who will be able to search and download digital assets they have access to in the DAM.
Power User: Users who will be able to upload, edit, download, search, and share digital assets they have access to in the DAM.
Departmental Admin: Users who will have the ability to upload, edit, download, search, delete, and share digital assets they have access to in the DAM.

I acknowledge that I am responsible for maintaining the confidentiality of any images that contain Protected Health Information (PHI).

PHI is any information which was created, used, or disclosed in the course of providing a health care service and can be used to identify a patient. This includes images. PHI is protected under HIPAA and all students, faculty, & staff who come into contact with Protected Health Information are obligated to follow HIPAA compliance guidelines regarding how to avoid disclosing it in order meet the requirements of the law.

Yes
No