Download one of the authorization forms listed above. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. What is a medical records release form. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. 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.