I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. 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: A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a. Please fill out this form to authorize the release of your medical records.
