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ND IIS DATA REQUEST DOCUMENT
NORTH DAKOTA DEPARTMENT OF HEALTH
DIVISION OF DISEASE CONTROL
SON 61133 (102016)ND IIS Data Request Document
The North Dakota Immunization Information System (ND IIS)
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How to fill out ndiis data request document

How to fill out ndiis data request document
01
To fill out the NDIIS data request document, follow these steps:
02
Start by filling out your personal information, including your name, contact information, and organization (if applicable).
03
Indicate the purpose of the data request and provide a brief description of why you need access to NDIIS data.
04
Specify the type of data you are requesting, such as immunization records for a certain population or specific information about a particular vaccine.
05
If applicable, provide any additional details or requirements for the data request, such as specific date ranges or age groups.
06
Sign and date the document to acknowledge that the information provided is accurate and that you agree to comply with NDIIS data confidentiality policies.
07
Submit the completed data request form to the designated NDIIS contact or through the online submission portal, if available.
08
Wait for a response from the NDIIS team regarding the approval or denial of your request.
09
Note: It is recommended to familiarize yourself with the NDIIS data request guidelines and requirements before filling out the form.
Who needs ndiis data request document?
01
The NDIIS data request document is typically required by individuals or organizations that need access to immunization data collected by the NDIIS.
02
This may include healthcare providers, researchers, public health agencies, educational institutions, or other authorized entities.
03
Access to NDIIS data can help inform decision-making, monitor immunization coverage, track vaccine safety, conduct research, and improve public health programs.
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What is ndiis data request document?
The ndiis data request document is a form used to request data from the National Drug and Alcohol Information System.
Who is required to file ndiis data request document?
Any individual or organization looking to obtain data from the National Drug and Alcohol Information System is required to file the ndiis data request document.
How to fill out ndiis data request document?
To fill out the ndiis data request document, you must provide information about the requested data, purpose of request, and contact information for the requester.
What is the purpose of ndiis data request document?
The purpose of the ndiis data request document is to formally request data related to drug and alcohol information for research or analysis purposes.
What information must be reported on ndiis data request document?
The ndiis data request document must include details about the requested data, reason for request, and contact information for the requester.
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