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Medical Records Release Authorization Form Template

Jotform’s medical records release authorization template allows you to quickly and easily gather signatures from patients or parents or guardians in order to release sensitive medical records. 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 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. Fax or mail the appropriate site listed on page 2 of the. I hereby authorize the release of my medical information to the designated recipient.

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