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. Go to download medical records authorization form template for word. 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.