Public Health Data Request
All data requests will be processed by the district epidemiologist in the order they are received, although preference will be given to internal programs and emergent issues. Please allow 2 weeks for processing. If you have any questions regarding your data request please email
Name of Requester *
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Requester Organization/Affiliation *
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Requester Phone Number *
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Requester Email *
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Data Request *
Please describe information that is being requested.
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What type of information is needed? *
Check all that apply.
Please provide a date the information is needed by. *
Additional Comments
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