Releasing and Requesting Human Services Records

Use this Release of Information form (Autorización para Divulgación de Información) if you want Boulder County Human Services to share your information with another agency, professional, or individual who may need it.

• This release is good for 1 year.
• To cancel a release you already made:

Use this Release of Information Cancellation form (Cancelación de Autorización para Compartir Información).

If you are requesting records for yourself or your family, use the Boulder County Human Services Records Request Form.

You can use this form to request records for:

• Yourself
• Your biological or adopted children, or
• Children you’re the legal guardian of

Important to know:

• Fees may apply.
• Providing false information may be a violation of Colorado law.
• Completed forms will be kept in the record file for one year.

Need records for someone else?

If you are not the person listed above, please email hhsrecordsrequest@bouldercounty.gov.

Send your request to hhsrecordsrequest@bouldercounty.gov.

Your request must be on official agency letterhead and include:

• Names of alleged victims, perpetrators, and related individuals
• Dates of birth
• The timeframe for the records