Create Request - Data Request Application

Welcome

The Maricopa County Department of Public Health Office of Epidemiology is a resource for data, gis mapping, and other epidemiological related requests. We suggest you review our regular reports for your data needs first through our website, https://www.maricopa.gov/2528/Community-Health-Data. We also recommend reviewing available data through the Arizona Department of Health Services Community Profiles Dashboard, https://www.azdhs.gov/gis/community-profiles-dashboard/index.php.

For those data needs that cannot be found through the above resources we suggest you complete the form below with details on what you are looking for. Please keep the following in mind:

We do not have access to all health related data. You are welcome to call us and discuss what you are looking for prior to submitting a request, 602-372-2631.
All data can not be released due to privacy restrictions, especially for small areas or for specific populations.
We cannot fill requests immediately. We need at least two weeks, and this may vary depending on staffing and other department priorities.
Please be as detailed as possible as this will save time when completing your request.

*Request Purpose

*Requester Name

*Requester Email

*Requester Agency

Requester Phone

A staff member will be contacting you by email or phone to discuss your request. Please provide the contact information for a person who is knowledgeable about your data needs (if different from above)

Contact Name

Contact Email

Contact Agency

Contact Phone

*What is(are) the question(s) that you're trying to answer? (Consider what, where, who, and when)

What type of data do you think would help answer this question? (Consider what, where, who, and when). If you are referring to a specific report or data point, please provide a link to that data or how it can be found.

*How are you planning to use this data?

This is a repeat request (e.g., you reqeusted the same data previously)?

Date Needed

*If you need some assistance in completing your request, please call 602-372-2631.