I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. This medical records authorization form template for word is a written permission saying you. To get your medical history or to do it on behalf of the person who authorized you to get it through a medical release form, you have to take several steps. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a.
