We appreciate your need for information from CBHS. In order to best serve you and all who make requests of the Information Services Unit, we ask for completion of the electronic data request form. Completing this form will ensure that your request is received and processed in a timely manner.

CBHS Data and Reporting Request Form

Please enter dates for report

or, Point in Time Data / Current as of today

Yes
Format Required:
  • Spreadsheet (Excel)
  • Word (report format)

Contact Jeanne Tondreau for questions on completing this form.