The sample medical release form is available online that can be used to create one in word doc format. 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. Medical release forms include details about. A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a.
