Release of Information – Early Intervention Fillable PDF
Authorization to release information forms must be submitted to: RecordsRequests@butlerdd.org
Office closed on July 23
Our office will be closed on Tuesday, July 23 in memory of our dear friend and colleague, Dawn Hamblin. If you have an emergency and need immediate assistance, please call our after hours line at 513-867-5913.
Dawn was a valued member of our agency. She recently received the Employee Spotlight of the Month. You can view that recognition here.
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