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Medical Records

NOTE: In order to request medical records please click on the link below to download a Youth Villages Medical Authorization Form. It is our policy to release medical records according to HIPAA Privacy Rules and Regulations. To avoid any delay in the production of medical records, please completely fill out Youth Villages Authorization to Release Medical Records according to instructions given on the authorization form and e-mail the form to

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About Us
Youth Villages is a private nonprofit organization dedicated to helping emotionally and behaviorally troubled children and their families live successfully. We help more than 22,000 children and families each year from across the country. Our Evidentiary Family Restoration® approach involves intensive work with the child and family, a focus on measuring outcomes, keeping children in the community whenever safely possible, and providing accountability to families and funders. The EFR approach produces lasting success for children with success rates twice that of traditional services at one-third the cost of traditional care.
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