Data Request Form

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This form is to be completed by Burrell employees only.

All requests will be subject to approval based on the Family Education Rights and Privacy Act (FERPA) compliance.

FORM HERE

^{The form can also be viewed here}

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Burrell College of Osteopathic Medicine

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The Burrell College of Osteopathic Medicine is a private, investor owned, medical school affiliated with New Mexico State University. The Burrell College of Osteopathic Medicine is free-standing, separately licensed and independently operated entity and not part of New Mexico State University.

The Burrell College of Osteopathic Medicine is a private, investor owned, medical school affiliated with Florida Institute of Technology. The Burrell College of Osteopathic Medicine is free-standing, separately licensed and independently operated entity and not part of Florida Institute of Technology.