This form is may be used to articulate a data request for Island Health data; especially a request that requires review/approval from multiple parties. Data will be provided in response to a Data Request only after appropriate reviews/approvals have been granted. This form may be used for both research projects and other initiatives. The application and approval process for research projects differs from other initiatives.

Research Projects

Other Initiatives

NOTE: Many fields in this form are hidden and only appear when relevant based on previous responses.

Completion of this Data Request form requires assistance from an Island Health data specialist. To connect with the appropriate data specialist for your project, please send an e-mail with a brief description of your project and data requirements to . To find out more about Island Health's research application process, please send an e-mail to .

Please send comments and questions about this form to

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