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Data forms

Data forms

Materials on this page are available for download – please acknowledge the WA Department of Health or Data Linkage Services as a source where applicable.

An application for data has three (3) different modules:

  • mandatory application forms (Module 1)
  • data services forms (Module 2)
  • variable lists for all requested datasets (Module 3).

Applicants must complete both forms in Module 1, and complete relevant forms in Module 2 for each required data service. Applicants must also provide completed variable lists in Module 3 for each requested dataset or collection. Researchers may be asked to provide research protocol (if available) and other documentation as required to support their request.

For more information on available variables, please refer to our data catalogue.

Non-research applicants are advised to contact ISPD Client Services for assistance.

Module 1 - Mandatory application forms

Applicants must complete both mandatory application forms:

Please note the forms used for the draft application are the same as for the final application.

Module 2 - Data service forms

To properly understand your data request, Data Linkage Services require the following forms for each requested service:

  • Linkage (Word Doc, 286 KB) 
    If you are interested in linking external data (e.g. results of a survey) to the Department of Health datasets.
  • Extraction (Word Doc, 348 KB)
     If you are interested in obtaining an extract of data from the Department of Health datasets.
  • Geocoding (Word Doc, 169 KB)
     If you wish to give Data Linkage Services a list of addresses to add spacial elements.
Module 3 - Variable list forms

Please complete the variable list for each dataset you require.

For variable lists that are not listed here, please contact ISPD Client Services.

Core datasets

Other datasets

Application amendments

An application for amendment may be required for linkage updates (where new data is provided for linkage), data extraction updates, addition of variables from previously approved datasets, or addition of new datasets to an existing application. Amendments are also required where there are changes to project methodology or personnel.

Please ensure that you have read Amendments and data updates information and have contacted both ISPD Client Services and the WA Health Central Human Research Ethics Committee (HREC) for advice, prior to any amendment requests and the submission of this form.

Draft Outputs Review

All outputs resulting from the analysis of linked data must be submitted to Client Services for review.

To submit a draft output for review, please complete the Draft Output Review Checklist and email it, with the draft output, to DataServ@health.wa.gov.au.

Please allow up to two full working weeks for feedback, or possibly longer if the output is very long (e.g. a student thesis).

For more information about publishing and the Draft Outputs Review process, please see the Publishing WA Health system data page.

wa.gov.au