Bureau of Substance Addiction Services Data Request Form

Bureau of Substance Addiction Services Data Request Form

Fill out the form below with your information to submit a request for data. Please allow at least 2 weeks for your request to be processed. Analysts may reach out to you via email if they have follow-up questions.

If you are a patient trying to file a complaint about a program, please call our complaint line directly at 617-624-5171 or visit our website.

Full Name*

Please provide your first and last name.

Email Address*

Organization/Affiliation*

Brief Description of Request*

Please provide any information that analysts may need to create your request (e.g., What questions do you want to answer? What years of data do you want to see? Are you interested in a specific level of care or population?)

What date do you need the data by? (optional)

Please allow at least 2 weeks for your request to be processed. If the request is urgent (<2 weeks), please contact catherine.e.urquhart@mass.gov. We may not be able to process your request in time.

Sample Request (optional)

If you have a specific example of what you would like your request to look like, please submit it below. Please DO NOT upload any file with personal or confidential information.

Drag and drop files here or

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