We are now accepting enrollments for the 2026 Peer Review program.

📆This program runs through December 31, 2026, with a participation fee of $165 per center.

📌Each center is expected to actively participate in its selected session/core community during each month of the program. This ensures a sufficient number of sites and meaningful dialogue during peer review. Exceptions may be made only in extenuating circumstances.

❓If you have any questions about the enrollment process, please contact Maggie Larson, Peer Review Coordinator, at maggie.larson@childrensmn.org.

💡 Please note: You will be directed to a payment link right after you submit this registration form.

Verification

Please verify that this information is correct for your organization and make changes, if needed.

Organization Information

Full Organization Name

City

US State/Territory or Canadian Province

Primary Contact

Who will be the primary contact from your organization regarding peer review?

The primary contact is the main point of contact regarding your organization's participation in peer review. The primary contact is responsible for forwarding all links and other communication to team members.

Peer Review Contact Information

First Name

Last Name

Title

Email Address

Phone number

Please select the type(s) of peer review your CAC is interested in participating in:

Medical Peer Review

SANE Peer Review

Forensic Interview Peer Review

Spanish Speaking Forensic Interview Peer Review

Forensic Interview Peer Review: Interviewing Individuals with Disabilities

Medical Peer Review

Medical Peer Review Session Selection

Medical Peer Review will take place on the days/times listed below:

First Wednesday of the month 1-2 pm Central
First Thursday of the month 1-2 pm Central
Third Wednesday of the month 1-2 pm Central
Third Friday of the month 9-10 am Central

📌Your site will need to choose one of these times to attend on a consistent basis.

📌Each site will be required to present on a rotating basis, typically 3 times a year.

If you agree to the conditions above, please indicate a first and second choice for the Medical Peer Review sessions in which you wish to participate.

First Choice

Second Choice

Primary Contact

At the beginning of this registration process, you listed this person as your organization's primary contact for peer review:

Would you like someone different to be the primary contact for Medical Peer Review?

YesNoAs a reminder, the primary contact is responsible for forwarding all links and other communication to team members.

Medical Peer Review Primary Contact

First Name

Last Name

Title

Email Address

Phone number

Medical Peer Review

Medical Peer Review Participants

Please list the names, email addresses, and credentials of any/all medical providers who will be participating in Medical Peer Review with your site in the coming year.

First Name	Last Name	Credentials	Email Address

Comments

SANE Peer Review

SANE Peer Review Session Selection

SANE Peer Review will take place on the days/times listed below.

📌Your site will need to choose one of these times to attend on a consistent basis.

📌Each site will be required to present 2-3 times during the annual cycle.

If you agree to the conditions above, please indicate your day/time preference.

Second Wednesday of the month 11am-12 noon CentralSecond Wednesday of the month 1-2 pm Central

Primary Contact

At the beginning of this registration process, you listed this person as your organization's primary contact for peer review:

Would you like someone different to be the primary contact for SANE Peer Review?

YesNoAs a reminder, the primary contact is responsible for forwarding all links and other communication to team members.

SANE Peer Review Primary Contact

First Name

Last Name

Title

Email Address

Phone number

SANE Peer Review

SANE Peer Review Participants

Please list the names, email addresses, and credentials of any/all medical providers who will be participating in SANE Peer Review with your site in the coming year.

First Name	Last Name	Credentials	Email Address

Comments

Forensic Interview Peer Review

Forensic Interview Peer Review Session Selection

Forensic Interview Peer Review will take place on the days/times listed below.

📌Your site will need to choose one of these times to attend on a consistent basis.

📌Each site will be required to present at least once during the annual cycle.

If you agree to the conditions above, please indicate a first, second, and third choice for your day/time preference. Every effort will be made to accommodate your first choice selection.

First Choice

Second Choice

Third Choice

Forensic Interview Presentation Slots

Each site is required to present at least once in each annual rotation (January 1 to December 31), and we can guarantee up to two presentation slots. If you have multiple interviewers who each need to be peer reviewed, we will make every effort to accommodate additional requested slots, given space availability.

How many presentation slots will your site require?

OneTwoOther - Write In

Primary Contact

At the beginning of this registration process, you listed this person as your organization's primary contact for peer review:

Would you like someone different to be the primary contact for Forensic Interview Peer Review?

YesNoAs a reminder, the primary contact is responsible for forwarding all links and other communication to team members.

Forensic Interview Peer Review Primary Contact

First Name

Last Name

Title

Email Address

Phone number

Spanish Speaking Forensic Interview Peer Review

Spanish Speaking Forensic Interview Peer Review Session Selection

Spanish Speaking Forensic Interview Peer Review will take place on the days/times listed below.

📌Your site will need to choose one of these times to attend on a consistent basis.

📌Each site will be required to present at least once during the annual cycle.

If you agree to the conditions above, please indicate your day/time preference. Every effort will be made to accommodate your first choice selection.

Third Wednesday of the month 2:30-4 pm CentralThird Thursday of the month 10-11:30 am Central

Primary Contact

At the beginning of this registration process, you listed this person as your organization's primary contact for peer review:

Would you like someone different to be the primary contact for Spanish Speaking Forensic Interview Peer Review?

YesNoAs a reminder, the primary contact is responsible for forwarding all links and other communication to team members.

Spanish Speaking Forensic Interview Peer Review Primary Contact

First Name

Last Name

Title

Email Address

Phone number

Interviewing Individuals with Disabilities Peer Review

Interviewing Individuals with Disabilities Peer Review Session Selection

Forensic Interview Peer Review: Interviewing Individuals with Disabilities meets once monthly.

Third Thursday 1pm Central

There will be presenting sites with backup sites assigned for this call.

Would you like to sign up for Forensic Interview Peer Review: Interviewing Individuals with Disabilities?

YesNo

Primary Contact

At the beginning of this registration process, you listed this person as your organization's primary contact for peer review:

Would you like someone different to be the primary contact for Interviewing Individuals with Disabilities Peer Review?

YesNoAs a reminder, the primary contact is responsible for forwarding all links and other communication to team members.

Interviewing Individuals with Disabilities Peer Review Primary Contact

First Name

Last Name

Title

Email Address

Phone number

Thank you for registering for 2026 Peer Review. The next step in your registration is to sign the Business Associate Agreement. Please click "Next Page" to continue.

2026 Peer Review - Business Associate Agreement

To remain in compliance with Children’s Minnesota policies, all sites participating in MRCAC's Peer Review program must follow the guidelines outlined in this agreement.

This document is a legal agreement between Children’s Minnesota and a Participating Site (such as a clinic, hospital, or organization). It explains how both parties will protect private health information while working together.

The collaboration involves a forensic interview peer review program, during which sensitive patient data—known as Protected Health Information (PHI)—may be shared.

In simple terms, this form means:

Both parties agree to follow HIPAA laws to keep health information private and secure.
If either party shares patient information, they must:

Only use it for the agreed purpose.
Keep it safe and secure.
Report any data breaches or unauthorized access.
Ensure that anyone else they work with also follows these rules.

The agreement also explains:

How long the agreement lasts (until one party ends it).
How it can be ended (with notice or immediately if rules are broken).
What happens when it ends (all shared data must be returned or destroyed).

This Business Associate Agreement (“Agreement”) is made and effective upon electronic acceptance (“Effective Date”) by and between Children’s Health Care d/b/a Children’s Minnesota and affiliates (“Children’s”) and the Participating Site (the “Participating Site”) (each a “Party” and collectively the “Parties”). WHEREAS, The Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) have authorized the Department of Health and Human Services to issue regulations at 45 C.F.R Parts 160 and 164 (the HIPAA Security Rule, the HIPAA Privacy Rule, the HIPAA Enforcement Rule, and the HIPAA Breach Notification Rule, referred to collectively herein as the “Regulations”) to protect the security, confidentiality, and integrity of health information.

WHEREAS, Children’s is a Covered Entity and Participating Site may be a Covered Entity as defined in the Regulations (defined below). The terms Covered Entity and Business Associate shall be used to define either Party within this Agreement when it is appropriate and necessary based on the uses and disclosures of PHI and to comply with the Regulations.

WHEREAS, The Parties have entered into an engagement whereby Children’s and Participating Site will be collaborating in a forensic interview peer review program (the “Engagement”). Each Party may provide certain peer review services to the other Party for purposes of the Engagement and pursuant to such Engagement, where either Party may be considered a “business associate” of the other Party as defined in the Regulations.

NOW, THEREFORE, in consideration of the mutual covenants herein contained, the Parties agree to the provisions of this Agreement in order to comply with the Regulations.

Definitions.

Any terms used but not defines in this Agreement have the definitions set forth in the Regulations.

Obligations and Activities of Business Associate.

Business Associate agrees to:

(a) Not use or disclose protected health information other than as permitted or required by the Agreement or as required by law;

(b) Use appropriate safeguards, and comply with Subpart C of 45 CFR Part 164 with respect to electronic protected health information, to prevent use or disclosure of protected health information other than as provided for by the Agreement;

(c) Report to either party any use or disclosure of protected health information not provided for by the Agreement of which it becomes aware, including breaches of unsecured protected health information as required at 45 CFR 164.410, and any security incident of which it becomes aware;

(d) In accordance with 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2), if applicable, ensure that any subcontractors that create, receive, maintain, or transmit protected health information on behalf of the business associate agree to the same restrictions, conditions, and requirements that apply to the business associate with respect to such information;

(e) Make available protected health information in a designated record set to the covered entity as necessary to satisfy covered entity’s obligations under 45 CFR 164.524;

(f) Make any amendment(s) to protected health information in a designated record set as directed or agreed to by the covered entity pursuant to 45 CFR 164.526, or take other measures as necessary to satisfy covered entity’s obligations under 45 CFR 164.526;

(g) Maintain and make available the information required to provide an accounting of disclosures to the covered entity as necessary to satisfy covered entity’s obligations under 45 CFR 164.528;

(h) To the extent the business associate is to carry out one or more of covered entity's obligation(s) under Subpart E of 45 CFR Part 164, comply with the requirements of Subpart E that apply to the covered entity in the performance of such obligation(s); and

(i) Make its internal practices, books, and records available to the Secretary for purposes of determining compliance with the HIPAA Rules.

Permitted Uses and Disclosures by Business Associate.

(a) Business associate may only use or disclose protected health information for the purposes of the Engagement.

(b) Business associate may use or disclose protected health information as required by law.

(c) Business associate agrees to make uses and disclosures and requests for protected health information consistent with covered entity’s minimum necessary policies and procedures.

(d) Business associate may not use or disclose protected health information in a manner that would violate Subpart E of 45 CFR Part 164 if done by covered entity.

Permissible Requests by Covered Entity.

Covered entity shall not request business associate to use or disclose protected health information in any manner that would not be permissible under Subpart E of 45 CFR Part 164.

Term and Termination.

(a) Term. The Term of this Agreement is effective upon the Effective date, and shall terminate in accordance with this section.

(b) Termination without cause. Either party may terminate this agreement upon 30 days’ notice.

(b) Termination for Cause. Covered entity may immediately terminate this Agreement and the Engagement if covered entity determines business associate has violated a material term of the Agreement and business associate has not cured the breach or ended the violation within the time specified by covered entity.

(c) Obligations of Business Associate Upon Termination. Upon termination of this Agreement for any reason, business associate shall destroy or return all data and information to covered entity.

Agreement

Please make sure the following information is correct before submitting this form.

First Name

Last Name

Email

Organization Name

By submitting this form, I am agreeing to follow the requirements outlined in the Business Associate Agreement above.

Payment

Thank you for registering for 2026 Peer Review. The final step to complete your registration is to submit payment.

📌Credit cards are our standard and preferred method of payment. Credit card payments are processed through PayPal. If you do not already have a PayPal account, you will need to establish a (free) username and password in order to process your credit card payment.

📌If necessary, we can also accept payment by check. Also, for sites that have pre-arranged an alternative payment option (such as a Chapter sponsorship), please mark the Check option.

❓If you have questions about payment, please contact Sarah Kletter, Program Coordinator, at sarah.kletter@childrensmn.org.

Please indicate which form of payment you will use.

Credit CardCheck

When you click Submit, you will be redirected to the payment form.