I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. This medical records authorization form template for word is a written permission saying you. The sample medical release form is available online that can be used to create one in word doc format. 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. This post reviews what is required for a medical release authorization.
