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Medical Records Release Authorization Form Template

To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. 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. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. 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 release form is a legal document with which a patient permits their physician to share their health information with a third party.

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