I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. Completed and signed forms can be submitted the following ways: A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. A medical records release authorization form is a document that allows healthcare providers to share a patient's medical records with specified parties, such as insurance companies or other. What is a medical records release form.