I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. Please fill out this form to authorize the release of your medical records. 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. This post reviews what is required for a medical release authorization.
