A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. 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. Go to download medical records authorization form template for word.
