I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. A medical records release form is a document used to authorize the transfer of a patient's medical records from one healthcare provider to another. 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. Completed and signed forms can be submitted the following ways: Jotform’s medical records release authorization template allows you to quickly and easily gather signatures from patients or parents or guardians in order to release sensitive medical records.