Interact and Visualize Datasets Publications

Simple Counts & Rates

Use this form to obtain simple counts and rates that you can't find in our annual Summary or by using our interactive data tool. Please do not use it for personal genealogy or to order birth or death certificates. Some requests may require a signed data user agreement to process. If so, you will be contacted by the Health Department. Please allow 2-3 weeks to process your request and note that processing times may vary due to shifting priorities and resources.

* Indicates required fields

Data Needed By

Long Term: More than 4 weeks

Routine: 2-4 weeks from date of approval

Name*

Type of Organization*

Academic

Government

Hospital/Health Facility

Non-Profit

Address*

City*

State*

ZIP Code*

Email*

Daytime Phone*

Evening Phone*

Title of Request*

Describe the reason for your request and how you will use the resulting data*

Exact data variables requested*

Indicate the format of data needed* (check all that apply)

Raw data/dataset

Data tables (i.e.: frequencies, crosstabs, etc.)

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