To get your medical history or to do it on behalf of the person who authorized you to get it through a medical release form, you have to take several steps. This medical records authorization form template for word is a written permission saying you. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. What is a medical record release form? This post reviews what is required for a medical release authorization.