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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. I hereby authorize the release of my medical information to the designated recipient. A medical records release form is a document that authorizes the release of patient health information from one healthcare provider to a. The sample medical release form is available online that can be used to create one in word doc format. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information.

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