To request records, please download the Records Access Form below and

 

Email:

butchlosey@waybridgecounseling.com

 

or

​

Postal Mail:

4030 Mt. Carmel Tobasco Road,

Suite 102

Cincinnati, Ohio 45255 .

 

Please make sure to include the Authorization for Release of Information Form, which is attached to the document.

​

Records Request Access Form