Confidential Patient Listings
If you are funded and ready to apply for confidential patient listings, please submit the following application.
Confidential patient listing application
Appendix 2 (Agreement for Access to CCR Data)
Appendix 3 (Confidentiality Agreement for Disclosure of CCR Data)
Appendix 4 (Example Confidentiality Pledge)
Appendix 5 (Procedures to Maintain Confidentiality of CCR Data)
If you have any questions, please contact the Data Release Coordinator at (510) 608-5022 or