The sample medical release form is available online that can be used to create one in word doc format. A medical records release form is a document used to authorize the transfer of a patient's medical records from one healthcare provider to another. A medical release form is a legal document with which a patient permits their physician to share their health information with a third party. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a.