Forms

Forms: English

Patient Registration Information

Patient Consent

Medical Information Release

Consent of Medical Treatment for Minors

Adult Past Medical History

Patient Portal Consent

Cell Phone Policy

Medical Record Request From Another Facility

Medical Record Release To Another Facility

Immunization Registry Consent – Adult

Immunization Registry Consent – Minor

Forms: Español

Informacion de Registro de Paciente

Consentimiento para el Tratamiento Medico

El Portal de Paciente

Consentimiento para Tratamiento Medico de Menores de Edad

Uso de Teléfonos Celulares y Dispositivos Móviles

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• Testimonials

  "I have been a patient of Dr. Robert Youens for 5 years. In that time I have been very satisfied with the care I have received. Dr. Youens and his colleagues Dr. Olga Duchicela and Dr. Jorge Duchicela are very kind, concerned, and thorough with any illness I have had. I have even recommended Dr. Jorge Duchicela to my mother and she is happy I did. The staff are very polite and kind. They all treat each one of their patients as if they were the only one in to see the doctors. Very attentive."
  
  - Liz