Notices of Privacy Practices
- Important Privacy Message from BHDD Office of Mental Health
- Notice of Privacy Practices
- Aviso Sobre las Practicas de Privacidad (Versión en Español)
Forms
- M-450D: Authorization to Disclose BHDD Office of Mental Health Protected Health Information
- Request to Amend BHDD Office of Mental Health Protected Health Information
- BHDD Office of Mental Health Privacy Practices Complaint
- Forma: Autorización Para Divulgar Información Protegida De Salud Del BHDD Office of Mental Health (Versión en Español)
- Forma: Solicitud Para Enmendar La Información Médica Protegida (Versión en Español)
How to Request Medical Records
If you would like to request a copy of your or your child’s medical record, you should contact the BHDD Office of Mental Health facility directly where services were provided.
A written request form, Form M-450D, is needed to process your request for records.
Completed request forms should be sent to the attention of the “Medical Records Custodian” to the facility address where services were provided.
Find Mental Health Center Address