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. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. I hereby authorize the release of my medical information to the designated recipient. 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.
