I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. Download one of the authorization forms listed above. Jotform’s medical records release authorization template allows you to quickly and easily gather signatures from patients or parents or guardians in order to release sensitive medical records. Completed and signed forms can be submitted the following ways: 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.
