By completing this form, I confirm that I am authorized to act on behalf of my organization and acknowledge the following responsibilities:
Data Subscriber Agreement
If approved, I understand that a Data Subscriber Agreement must be fully executed before any Hospital Discharge Data (Patient-Level Data) is released.
Associated Fees
I understand that, unless otherwise discussed, payment must be made in full prior to data release.
Use Limited to Approved Scope
I understand that Virginia Health Information’s Hospital Discharge Data may only be used for the specific purpose described in this request and approved by Virginia Health Information.
License Agreement Compliance
I understand that use of the data must comply with the terms and permitted uses associated with the license type selected in this request. Guidance for which license type is required is available at: vhi.org/data/hospital-discharge-data/request-pld-data/
Re-Identification
I understand that any attempt to identify individual patients, providers, facilities, or other entities within the Hospital Discharge Data is strictly prohibited.