PICS Data Analytics Request Form
The Victorian Paediatric Integrated Cancer Service (PICS) offers a data service where stakeholders can request data and reports for relevant projects seeking to improve patient safety and service delivery for paediatric cancer patients. If you would like to request data for a project, please provide your contact information and a brief overview of your project and we'll be in touch to discuss how we can be of assistance. 

Note: You do not need to sign into Google to submit your request.
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Email *
Your Name *
Organisation
Job Title
Phone number
Project Details
Project Description *
How and where will this information be used? (For example, in a presentation or at a conference) *
Date range for analysis *
Cancer identification (optional)
Clear selection
List relevant diagnosis and/or procedure codes (optional)
Preferred source data (optional)
Clear selection
Health services to be included in the analysis (optional)
Provide any project milestones or relevant due dates to be considered when prioritising the request
Ideal report delivery date *
Any additional notes
Next Steps
Once you submit your request, you'll receive a link that will allow you to edit your answers if needed. Our data team will follow up with you in next 3 to 4 business days. If you have questions, please contact pics.admin@rch.org.au. Thank you!
A copy of your responses will be emailed to the address you provided.
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