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?*

WeeklyMonthlyQuarterlyOne-timeOther
Date Range (if known)
Date Request Needed*

MonthDayYear
Date
Desired Report Format*

No PreferenceTableFigureSpreadsheetOther
How will Data Analysis Information be Used?*
Sender Email
Must remain EpidemiologyRequest@wakegov.com
Please verify that you are human*
Should be Empty: