A medical records release form is a document used to authorize the transfer of a patient's medical records from one healthcare provider to another. Go to download medical records authorization form template for word. Fax or mail the appropriate site listed on page 2 of the. I hereby authorize the following health care professional, medical facility, mental health facility, laboratory, paramedical facility, medical examiner, medical records service, prescription. A medical records release form is a document that permits a medical office to disclose a patient’s protected health information.
