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. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. I hereby authorize the release of my medical information to the designated recipient. Fax or mail the appropriate site listed on page 2 of the. 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.
