Release of Information – Early Intervention Fillable PDF
Authorization to release information forms must be submitted to: RecordsRequests@butlerdd.org
Register now for our Community Recognition Event!
Join us for on Tuesday, June 14 for our Community Recognition Event where we’ll honor all the amazing people who support people with developmental disabilities in the community!
A person who receives services from our Board is an “enrollee.” All information contained in an enrollee’s record, including what is retained or transmitted electronically and verbally shall be considered confidential. The Board shall not use or disclose Protected Health Information (PHI), beyond what is otherwise permitted or required by law, without a signed authorization in accordance with Board procedures.
Authorization to release information forms must be submitted to: RecordsRequests@butlerdd.org