I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. A medical release form is a legal document with which a patient permits their physician to share their health information with a third party. Jotform’s medical records release authorization template allows you to quickly and easily gather signatures from patients or parents or guardians in order to release sensitive medical records. What is a medical record release form?