For information on a Data or Service Request please contact Abraham Mukolo, Chief Epidemiologist, 615-340-8632. You must have JavaScript enabled to use this form. Contact Information Name Organization Phone Email Request Information Request date Desired completion date Data requests are completed as submitted; please anticipate approximately 30 days to receive your final data product. Project Description Project description Services requested (check all that apply) Consultation Subject Matter Expert Literature Review and analysis - reporting Program Evaluation Planning - Survey or data tool development Presentation Data Analysis or Report - Epidemiology Program datasets Data Analysis or Report - Data I provide (must be a clean analysis ready dataset) Data Analysis - Maps - Epidemiology Program dataset Data Analysis - Maps - Data I provide (must be a clean analysis ready dataset) Other Other services requested Attach a document One file only.10 MB limit.Allowed types: doc, docx, xls, xlsx, txt, ppt, pptx, pdf. Note: The Epidemiology program does not provide data entry, data collection, data cleaning, data coding, or data transcription services unless specifically funded through contractual arrangements. We are not able to redistribute any of the data sets that we manage. Leave this field blank