This medical records authorization form template for word is a written permission saying you. Please fill out this form to authorize the release of your medical records. Go to download medical records authorization form template for word. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. 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.
