Wake County Epidemiology Request

Wake County Epidemiology Request
Normal turnaround time for data requests is 5 business days. Depending on complexity, requests may take longer to fill. If data is needed sooner, please contact Morgan Poole at 919-856-7032.
Date Request Submitted

MonthDayYear
Date
Requestor Name

First NameLast Name
Requestor Email
example@example.com
Requestor Program
Project Description
Project Data Elements: (e.g. race, ZIP code, number of cases of "X") If you need assistance regarding what data elements are available, please contact Morgan Poole at 919-856-7032 or morgan.poole@wakegov.com.)
How Frequently Will Report Be Needed?

Other
Date Range (if known)
Date Request Needed

MonthDayYear
Date
Desired Report Format

Other
How will Data Analysis Information be Used?
Sender Email
Must remain EpidemiologyRequest@wakegov.com
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Should be Empty: