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Data request application forms

You will find all the forms that you need to request HES data on this page.

Before completing the forms, we recommend that you read the HES Tabulation Guide and HES User Guide for further advice.

Word format

Tabulation Guide (256KB)
Extract Guide (265KB)
Application Form, Part 1: Details of the Applicant (210KB)
Application Form, Part 2A: Inpatient (including maternity) Data (197KB)
Application Form, Part 2B: Outpatient Data (163KB)
Application Form, Part 2C: A&E; Data (141KB)
Application Form, Part 3A: Inpatient Data (229KB)
Application Form, Part 3B: Outpatient Data (172KB)
Application Form, Part 3C: A&E; Data (166KB)
Application Form, Part 4: Monthly Managed Extract Service (101KB)
Application Form, Appendices A1-A3: ONS/HES Linked Data (169KB)
Application Form, Appendix B: HES Data Security Form (157KB)
Application Form, Appendix C: Third Party Data Security Form (153KB)
Application Form, Appendix D: ONS MRP Customer Request Form (224KB)

PDF format

Tabulation Guide (119KB)
Extract Guide (136KB)
Application Form, Part 1: Details of the Applicant (141KB)
Application Form, Part 2A: Inpatient (including maternity) Data (182KB)
Application Form, Part 2B: Outpatient Data (89KB)
Application Form, Part 2C: A&E; Data (116KB)
Application Form, Part 3A: Inpatient Data (107KB)
Application Form, Part 3B: Outpatient Data (82KB)
Application Form, Part 3C: A&E; Data (149KB)
Application Form, Part 4: Monthly Managed Extract Service (45KB)
Application Form, Appendices A1-A3: ONS/HES Linked Data (162KB)
Application Form, Appendix B: HES Data Security Form (65KB)
Application Form, Appendix C: Third Party Data Security Form (92KB)
Application Form, Appendix D: ONS MRP Customer Request Form (146KB)

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