To request release of medical information please complete and sign this form i, ____________________________________hereby voluntarily authorize the disclosure of. Completed and signed forms can be submitted the following ways: Medical records release authorization forms are needed to legally allow sharing of an individual’s medical information. Please fill out this form to authorize the release of your medical records. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription.
