Celebrating 50 Years of Support

Records Request

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:

Butler County Board of DD Records Department

282 N. Fair Avenue

Hamilton, OH 45011

Or by E-mail:

RecordsRequests@butlerdd.org

If you do not have a form, you may utilize our agency’s form.  Be sure to choose the correct form depending on what type of information is being requested. If you are requesting records for an enrollee’s that include records of diagnosis and/or treatment of a drug or alcohol condition, click here for the form. If you are releasing records for an enrollee that does NOT include records of a diagnosis and/or treatment of a drug or alcohol condition, click here.