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 records 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. 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. The sample medical release form is available online that can be used to create one in word doc format.