I hereby authorize the release of my medical information to the designated recipient. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. 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. A medical release form is a legal document with which a patient permits their physician to share their health information with a third party.
