Request for Public Use Discharge Data Files - State of Oregon 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'CONTACT INFORMATION' section. Enter your name, organization, mailing address, city, state, ZIP code, and phone number. Ensure all details are accurate for effective communication.
3. In the 'AVAILABLE DATA FILES' section, select the data files you wish to request. Specify whether you need Inpatient Discharge Data or Outpatient & Ambulatory Surgery Center Discharge Data along with the corresponding years.
4. Complete the 'ORDER INFORMATION' section by indicating the total number of years requested and calculating the total cost based on $250 per year.
5. In the 'PLANNED DATA USES' section, check all applicable boxes that describe how you intend to use the data. This helps clarify your purpose for requesting access.
6. Review and sign the form at the bottom. Make sure to date your signature before submission.
7. Finally, submit your completed form along with any required agreements and payment as instructed in the submission information section.

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