STD/HIV/TB Data and Presentation Request Form

Please complete this form to request data or a presentation about STDs, HIV, or Tuberculosis (TB). For data or presentations on other topics and diseases please visit: Disease and Conditions Statistics (link will open in a new window)

Staff will be in touch within two business days to negotiate/confirm a final date and to clarify any questions.

Required fields are indicated with an asterisk (*)

Contact Information
Are you requesting a presentation or data?

Presentation: You want  MDH staff to present to your group in person. Presentations can include data.
Data only: You are only requesting data from MDH and do not want an in-person presentation.

Type of request (select one)*
Disease topic(s) for your request (select one)*

After clicking submit you will be taken to a page where you can view, print, or email your request for your records.