Ohio Denial of Release Form for Biological Parent (HEA 2758)
Official state formAdoptionForm HEA 2758Free downloadLast verified November 10, 2026
Form signed by a birth parent to refuse the release of identifying information about them from the adoption file kept by the Ohio Department of Health. The form is for adoptions finalized after September 19, 1996. It is mailed to Special Registration.
Who can use this form
- A birth parent signs the form.
- The form is for a birth parent who did not check the "no" space on the form completed during the adoption, or who signed an authorization of release form.
- It denies release to the adoptive parent when the adoptee is at least 18 but younger than 21, and to the adoptee at age 21 or older.
- The birth parent may change their mind at any time and as many times as they wish by filing a denial of release or an authorization of release.
What to send with it
- The completed form with the child's full name at birth, date and place of birth and the mother's full maiden name, as recorded on the original birth record.
- The birth parent's signature, date and address.
- Two items of identification, such as a driver's license, identification card, marriage record, social security card, military identification card or employee identification card.
Where to send it
- Mail to
- Ohio Department of Health Attn: Special Registration P.O. Box 15098 Columbus, Ohio 43215
- State fee
- Not provided
- Typical processing
- Not provided
- Form revision
- Rev. 03/2025
- Source
- Official government page