A medical records release form is a document that permits a medical office to disclose a patient’s protected health information. I hereby authorize the release of my medical information to the designated recipient. Medical release forms include details about. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. A medical release form is a legal document with which a patient permits their physician to share their health information with a third party.