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

For More Information
Please send all inquiries to and someone will contact you as soon as possible.