A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a. 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. Medical release forms include details about. I hereby authorize the release of my medical information to the designated recipient. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription.