Completed and signed forms can be submitted the following ways: I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. Fax or mail the appropriate site listed on page 2 of the. 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. Please fill out this form to authorize the release of your medical records.
