Search
Donate
Menu

Data Request

Please note that this form is for bulk data. If you would like to request a copy of your medical record please email the Poison Center at requests@wapc.org.

Disclaimer: Reporting of exposures to the poison center is voluntary and not mandated by law. As such, WAPC data describes the number of cases called into the poison center and most likely is an under-representation of the true occurrence of any one substance.

Additionally there is a fee for labor and costs associated with data preparation requested by outside organizations. Once you complete the form below we will reach out with a quote for the requested data.

 

Requestor Name(Required)
Is your organization a non-profit?(Required)
Is this request for a funded research project?(Required)

Disclosure Statement on WAPC Data

All data provided during the year in which the exposures occur is considered preliminary because it is possible that a case will be updated anytime during the year if new information is obtained. Changes occur in only a small number of cases each year. The Washington Poison Center does not accept responsibility for updating the requestor in the event of data updates for current year data.(Required)
Is a publication planned?(Required)
The following must be included in all publications referencing WAPC data: Reporting of exposures to the poison center is voluntary and thus not mandated by law. As such, WAPC data describes the number of calls received by the poison center and most likely is an under-representation of the true occurrence of any one substance. Exposures do not necessarily represent a poisoning or overdose.(Required)
MM slash DD slash YYYY
In what form is the processed data to be delivered (check all that apply)?(Required)
Is this a recurring request?