Go to download medical records authorization form template for word. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. What is a medical record release form? 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. I hereby authorize the release of my medical information to the designated recipient.
