The sample medical release form is available online that can be used to create one in word doc format. What is a medical record release form? A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a. Medical records release authorization forms are needed to legally allow sharing of an individual’s medical information. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription.