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Medical Records Release Authorization Form Template

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. What is a medical record release form? To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. The sample medical release form is available online that can be used to create one in word doc format. 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.

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