Data output required: Please be specific as possible on what data items are required, using the following headings: Specific data type People receiving HIV care First HIV and AIDS diagnoses Deaths among HIV positive individuals Late HIV diagnoses Other (please specify) Period of data required (e.g. 2014) Population (e.g. adults 15+ years) Geography (e.g. UK; England; London; etc.) Type of analysis (i.e. how you would like the data to be broken down) Specific data type: Period of data required: Population: Geography: Type of analysis: Reason for request/purpose of the data: For example: Research; Audit; Teaching; Service management or other (please specify). If the data is to contribute to a research proposal please forward a copy of the proposal with this form. Other individuals and organisations involved:
Data output required: Please be specific as possible on what data items are required, using the following headings: Specific data type People receiving HIV care First HIV and AIDS diagnoses Deaths among HIV positive individuals Late HIV diagnoses Other (please specify) Period of data required (e.g. 2014) Population (e.g. adults 15+ years) Geography (e.g. UK; England; London; etc.) Type of analysis (i.e. how you would like the data to be broken down) Specific data type: Period of data required: Population: Geography: Type of analysis: Reason for request/purpose of the data: For example: Research; Audit; Teaching; Service management or other (please specify). If the data is to contribute to a research proposal please forward a copy of the proposal with this form. Other individuals and organisations involved:
HARS_Data_Request_Form.docx