Go to download medical records authorization form template for word. 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. If you have any dmca. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. I hereby authorize the release of my medical information to the designated recipient.
