A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. A medical release form is a legal document with which a patient permits their physician to share their health information with a third party. 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. Go to download medical records authorization form template for word.