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Wisconsin Health Information Organization (WHIO) Database

Access Request Form

Thank you for your interest in the Wisconsin Health Information Organization (WHIO) datasets!
 
Please complete the form below. The information requested helps us gain a better understanding of how the WHIO datasets are being used by MCW faculty and staff. This form will then go under review by the AHW Deputy Director. Each person who will need login  access to the datasets should submit a separate form.

Please note that all fields marked with * are required.

We do not discriminate against individuals on the basis of age, race, creed, religion, color, disability, marital status, sex, national origin, ancestry, sexual orientation, gender identity, arrest record, conviction record, membership in the national guard, state defense force or any other reserve component of the military forces of the United States or the State of Wisconsin or use or nonuse of lawful products off MCW’s premises during nonworking hours.