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Records Release Developmental Behavioral Health Clinic

Records Request

You may request a copy of your records or request a transfer of your records by completing and signing a Records Request form. An electronic copy of the form is available by clicking the button below. The completed form can be faxed or mailed. A secure email is not available. Call 435-797-2002 with questions.

Records Request Form



  •  435-797-2002
  •  844-308-5865 (fax)
Child writing on a notebook during an evaluation