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. What is a medical records release form. Please fill out this form to authorize the release of your medical records. 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. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of.