NH Vital Records Privacy Board for Health-related Research Forms
HSDM will provide access to confidential data to qualified researchers demonstrating a direct and tangible non-commercial health related interest. HSDM will perform preprocessing of large data sets to provide data of interest to a researcher. Approval to receive or use confidential data requires a request to HSDM as well as approval by the Health Data Review Committee. Upon request and approval, HSDM will also perform analyses that result in confidential tabular information (no cell suppression). A Confidential Data Request Form and a Data Use Agreement must be submitted to HSDM to request confidential record level data or analyses.
The below links provide access to PDF versions of the current Application for Access to Confidential Vital Records Data for Health-related Research and the State of NH Department of Health and Human Service's Data Use Agreement. These documents are posted for information purposes only. Please contact HSDM staff to request a Data Application and a Data Use Agreement formatted as fillable Microsoft Word forms. Effective January 1, 2014, vital records data requests must be submitted using this application and data use agreement. Previous versions of the application will no longer be accepted as of that date.
- Application for Access to Confidential Vital Records Data for Health-Related Research
- NH DHHS Data Use Agreement
- Notice of Termination of Use of Confidential Data
- Request for Continued Use of Confidential Data
Statistical Data File Layouts
Adobe Acrobat Reader format. You can download a free reader from Adobe.