Please fill out this form to authorize the release of your medical records. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. 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. Medical records release authorization forms are needed to legally allow sharing of an individual’s medical information. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription.
