Data Request Form
Posted by Dwight Crews, Last modified by Barry Reeves on 22 January 2020 12:05 PM

Below is the new updated data request form to be used when requesting data from the Office of Emergency Medical Services (OEMS) from the Virginia Pre-Hospital Information Bridge (VPHIB) or the Virginia Statewide Trauma Registry (VSTR).  Complete all the fields in the form and email as an attachment to  If you need additional space for describing the details with your request, please include additional attachments with your email.

After submitting your completed form, please allow 2-4 weeks for completion of the request depending on the complexity of the request.  Some requests may require additional time depending on the amount of work hours involved with the request.

 OEMS Data Request Form Final 09-28-16.pdf (642.43 KB)