Data Request Form

For all state and county data requests: Please click here for the Data Request Form: https://redcap.isdh.in.gov/surveys/?s=JPKXHH8KYX

*Please allow 7 business days for a standard Data Request. More complex data request could take longer

For individual vaccination records: Please fill out this authorization form and send the completed form to immunize@isdh.in.gov.