Go to download medical records authorization form template for word. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. Completed and signed forms can be submitted the following ways: I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. Medical records release authorization forms are needed to legally allow sharing of an individual’s medical information.
