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. 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. A medical records release form is a document used to authorize the transfer of a patient's medical records from one healthcare provider to another. If you have any dmca. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of.