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Data Request Forms

Behavioral Risk Factor Surveillance System (BRFSS) - BRFSS is a health surveillance system conducted in the District of Columbia and Nationwide that collects data on chronic diseases, health risks, and health behaviors.

Request for Use of Data with Identifiers and Statement of Assurances - Vital Records data permitting the identification of any particular individual or establishment can be disclosed only under specified conditions designed to protect the privacy of, or prevent potential harm to, those who provided the data.

Contact TTY: 
711