Health Data Kalamazoo

Epidemiology Data Request Form


Please read this form thoroughly prior to submission. Think through your request and fill in all fields as completely and accurately as possible, as this will allow us to fulfill your request more efficiently.

We cannot fulfill requests that extend beyond available resources or compromise confidentiality. Questions and data requests should be emailed to

To download and fill out the form by hand, click here.

Contact Information

Data Request


Note: Please allow for a minimum of 14 days to receive your request. Complex data requests may take a longer period of time to complete.

include specific groups (age, gender, race, etc), geographic area (county, zip, etc), time frame

Purpose of Data Request (briefly describe below)