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. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. What is a medical record release form? Medical records release authorization forms are needed to legally allow sharing of an individual’s medical information. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of.
