I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. Please fill out this form to authorize the release of your medical records. What is a medical record release form? The sample medical release form is available online that can be used to create one in word doc format. 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.
