A medical release form is a legal document with which a patient permits their physician to share their health information with a third party. Go to download medical records authorization form template for word. I hereby authorize the release of my medical information to the designated recipient. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. Fax or mail the appropriate site listed on page 2 of the.
