Detroit Health Department: Data Request Form
Please complete this form to request *aggregate* data not found on the Detroit Open Data Portal. Due to capacity constraints at this time, we are unable to fulfill requests for individual level data. Turnaround time will vary depending on the request. A staff member from the Epidemiology team will contact you by phone or email within 14 business days to discuss your request further. For vaccination records, contact DHD's Immunization Clinic at (313) 876-4667. For birth or death records, contact the Wayne County Clerk's Office (313) 224-2117.
Today's Date:
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mm/dd/yyyy
Name
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Organization of requestor
Email
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Phone number
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Type of Requestor
How are you planning on using the data?
What is your research question?
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Consider what, where, who, and when.
What type of data do you think would help answer this question?
Consider what, where, who, and when. Leave blank if you are unsure.
What years/months/weeks would you like data for?
Date Data Needed
mm/dd/yyyy
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Send me a copy of my responses
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