Forms

COVID-19 Information

COVID-19 Informative PowerPoint (Updated 04-02-2020)

Video Chat: Helpful Documents

How To Use Our Video Chat To See Your Physician

Troubleshooting Guide For Your Smartphone

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

  "While at the clinic I always feel welcome and comfortable. Dr. Youens and Dr. Duchicela are both good doctors. The staff is very friendly and polite."
  
  - Euline