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. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. Go to download medical records authorization form template for word. Fax or mail the appropriate site listed on page 2 of the. 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.
