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. Download one of the authorization forms listed above. Fax or mail the appropriate site listed on page 2 of the. The sample medical release form is available online that can be used to create one in word doc format. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription.