CBHS Data Request Form

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.

Please enter dates for report
or, Point in Time Data / Current as of today
Format Required

Contact Jeanne Tondreau for questions on completing this form.