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. A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a. The sample medical release form is available online that can be used to create one in word doc format. 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.