Medical Records
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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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Youth Villages is a national leader in children’s mental and behavioral health bringing help and hope to more than 25,000 children, families and young people across the United States this year. The organization offers a continuum of evidence- and research-based programs, including its two national models: YVIntercept, which offers intensive in-home services, and YVLifeSet, which gives former foster youth a good start on a successful adulthood.
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