Go to download medical records authorization form template for word. 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. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. What is a medical records release form. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information.
