I hereby authorize the release of my medical information to the designated recipient. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. If you have any dmca. 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. The sample medical release form is available online that can be used to create one in word doc format.
