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Medical Records Release Authorization Form Template

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. To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. Please fill out this form to authorize the release of your medical records.

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