NPDS Non-Member Data Request Form Logo
  • National Poison Data System®

    Non-Member Data Request Form (DRF)
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    NEXT STEPS:

    • QUOTE: Once this form is complete and reviewed by America's Poison Centers, it will be used to develop the price quote and search parameters.
    • APPROVAL & CONTRACT: All requests are subject to approval by America's Poison Centers internal reviewers prior to establishing a Data Licensing Agreement (DLA) and Data Use Agreement (DUA).

     

    Questions? Contact DataRequests@PoisonCenters.org.

  • This form is intended for the following types of requestors:

    • Those NOT collaborating with sponsoring Poison Center(s).
    • Those collaborating with Poison Center representative(s) on a funded request.
    • Representatives from Poison Center(s) who are receiving funding for a request.
    • Representatives from a federal agency under an existing contract with America's Poison Centers.

     

    To proceed, please click here to complete a Member request:

    Member Data Request

     Note: Poison Center Director's approval is required.

     

    Questions? Contact DataRequests@PoisonCenters.org.

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  • SECTION A: REQUESTOR INFORMATION

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    • Collaborators 
    • Collaborator #1:
      Name: *             
      Organization: *  
      Title/Position: *       
      Role in Research Project: 
        
         
        
         
         
        
      *       

    • Collaborator #2:
      Name: *             
      Organization: *  
      Title/Position: *    
      Role in Research Project:
         
         
         
         
         
         
      *                                                     

    • Collaborator #3:
      Name: *             
      Organization: * 
      Title/Position: *   
      Role in Research Project:
         
         
         
         
         
         
      * 

    • Collaborator #4:
      Name: *             
      Organization: * 
      Title/Position: *     
      Role in Research Project:
         
         
         
         
         
         
      * 

  • SECTION B: DATA REQUEST DESCRIPTION

    Please be as specific as possible when completing this section, as these responses will be used to determine whether your request is approved by reviewers.
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  • SECTION C: DATA QUERY PARAMETERS

    PART I: GENERAL
  • PLEASE NOTE:

    All National Poison Data System® (NPDS) data reported by America's Poison Centers® during the year in which the exposures occur is considered preliminary because it is possible that a Poison Center may update a case anytime during the year if new information is obtained. Changes occur in only a small number of cases each year. In the fall of each year the data for the previous year is locked, and no additional changes are permitted.

  • 1. Date Range (multiple improvements were made in 2000 - comparisons to data prior to 2000 require special consideration):
    Pick a Date* to   Pick a Date*    

  • 1. Date Range for data extension (multiple improvements were made in 2000 - comparisons to data prior to 2000 require special consideration):
    Pick a Date* to   Pick a Date*    

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  • SECTION C: DATA QUERY PARAMETERS

    PART II: Exposure Cases
  • Select Exposure Reason Type(s):
    Unintentional: An exposure resulting from an unforeseen or unplanned event such as a child gaining access to a toxic substance when it is obvious the child did not realize the danger of the action.
      
       
     
       
       
       
       
       
    Intentional: A purposeful action that results in an exposure.
       
      
       
      
    Other:
      
       
      
    Adverse Reaction:
       
       
     
    Unknown:
    *

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  • SECTION C: DATA QUERY PARAMETERS

    PART III: INFORMATION CASES
  • SECTION D: DATA OUTPUT TYPE

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  • SECTION E: FATALITY ABSTRACT REQUEST

    All exposure related fatalities are listed in Table 21 of America's Poison Centers Annual Reports. Synopses of a select number of fatalities are published in an appendix to the Annual Reports (https://poisoncenters.org/annual-reports).
  • 1.Date Range (Fatality abstracts for the current and past year will not be provided until the NPDS Annual Reports for those years are published (i.e. 2023 will not be available until January 2025):
    Pick a Date* to Pick a Date*    

  • Please update the date range above if you do not wish to wait to receive abstracts that are not currently available (2023 and beyond).

  • REVIEW DISCLAIMER & SUBMIT

  • The following disclosure statement on America's Poison Centers data must be included in all publications referencing America's Poison Centers data.

    America’s Poison Centers® maintains the National Poison Data System ® (NPDS), which houses de-identified records of self-reported information from callers to the country’s Poison Centers (PCs). NPDS data do not reflect the entire universe of U.S. exposures and incidences related to any substance(s). Exposures do not necessarily represent apoisoning or overdose and America’s Poison Centers is not able to completely verify the accuracy of every report. NPDS data do not necessarily reflect the opinions of America’s Poison Centers.

     

    To complete this data request, please select Submit. 

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