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. What is a medical record release form? 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. Fax or mail the appropriate site listed on page 2 of the.
