DATA REQUEST FORM

This form should be completed once a Paper Proposal is approved. If you have not yet received approval for your proposal, please do not complete this form.

Please use this form to obtain access to ISCCCE or RADX-MA data.

ISCCCE staff will review this request to assess need for further definition/refinement. Staff will provide approval/feedback within about 2 weeks.

if you would like to temporarily stop your submission, use the SAVE & RETURN LATER button at the bottom. You will receive a link to come back to this form.

At the end, you will have the opportunity to print a pdf of your submission.

If you have problems or questions, please contact Dan Gunderson about data issues (DanielA_Gundersen@dfci.harvard.edu) or James Daly about form submission issues (jdaly@hsph.harvard.edu)

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