Patient Forms

Your Doctor Program, L.P.

New YDP Patient Education and Forms

Below are some documents to help you learn all about Your Doctor Program, L.P.    The goal of the program is to make sure you can understand how to use information technology for your healthcare needs. YDP ultimately believes your health is your responsibility.  We believe however the medical care coordination and management of your health is both your and our responsibility.
 How does your Doctor Program (YDP) work.ppt

 How to Manage Your Health with your YDP Physician.ppt

Below you will find several papers you will need to review and sign before we can get started.  These documents are quite similar to paperwork you have signed when you have gone to a doctor's office for the first time.
 
 Medical Records Release .doc

 Tell YDP All About You.doc

 YDP Patient Notice of_Privacy_Policy.doc
 
 YDP Patient Privacy Rights Request Form.doc

Below are several very important documents.  YDP thinks it is very important for each of our patients to read and consider the documents located here and after careful consideration to complete these papers. Your Medical Assistant or YDP Physician will be glad to discuss any concerns you may have about these papers.

 LivingWill-English.pdf

 Medical Power of Attorney-English.pdf
YDP has chosen to include the information below to assist you with issues of health and safety.  You will find a checklist to use in case of an emergency.  You will find information about the 2-1-1 Registration process for those with transportation needs in the event of a disaster. 
 Disaster Preparedness Checklist (1).xls

 dial211.pdf

 dial211_ride_register.pdf