Fax or mail the appropriate site listed on page 2 of the. 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. Please fill out this form to authorize the release of your medical records. Medical records release authorization forms are needed to legally allow sharing of an individual’s medical information.
