Materials on this page are available for download. Please acknowledge the Data Linkage Branch as a source where applicable.

Application for Data

An Application for Data has 3 different modules. Please complete the modules relevant to your application and submit according to the relevant submission instructions at Application Process.
Please note that the forms used for the draft application are the same as for the final application.

Complete the checklist below when submitting the draft application:
Draft Application Checklist (Word Doc, 155KB)

Module 1: Application for Data Form

Application for Data Form (Word Doc, 461KB)

Module 2: Data Services

To properly understand your request, we require you to submit one or more of the following forms:

Linkage
(Word Doc, 266KB)
If you are interested in linking external data (e.g. results of a survey) to the Department of Health WA datasets
Extraction
(Word Doc, 279KB)
If you are interested in obtaining and extract of data from the Department of Health WA datasets. The control selection guide may help you as well.
Geocoding
(Word Doc, 243KB)
If you wish to give Data Linkage a list of addresses to be geocoded.
NOTE: You don’t need to submit this form if you require SEIFA/ARIA codes on a data extract
Electoral Roll Sample Selection
(Word Doc, 117KB) 
If you require an identifiable sample from the WA Electoral Roll for mailout purposes.
Family Connections
(Word Doc, 277KB
If you require genealogical relationships.
Matched Comparison Group Selection
(Word Doc, 280KB)
If you require comparison or control populations for study cohorts to facilitate case-control studies.
Identifiable Data 3rd Party Linkage
(Word Doc, 261KB)
If you require an extraction of identifiable data to be sent to a third party linkage agency.

Module 3: Variable Lists

Please complete the variable list for each dataset you require. For variable lists that are not listed here please contact DataServices@health.wa.gov.au.

Core Datasets
Other Datasets

 

Application for Ethical Review (Department of Health Human Research Ethics Committee)

WA Health Ethics forms and other ethics documentation (e.g. amendments, confidentiality agreements) are submitted via the WA Health Research Governance System. Please see the Department of Health Human Research Ethics Committee website for more information.

 

Draft Output Review

All outputs resulting from the analysis of linked data must be submitted to the Data Linkage Branch (DLB) for Data Custodian review. To submit a draft output for review, please complete the checklist below and email it, with the draft output to DataServices@health.wa.gov.au