Free Medical Release Form Template

Medical release forms are used to request that a healthcare provider share a patient’s medical history with a third party (employer, insurance company, school, etc.). A verbal release agreement is not sufficient, therefore practices must have patients complete the following form before releasing medical records to any institution.

You can click the download link below to download your free copy of the medical release form pictured. Paper medical release forms have largely been replaced by their digital counterpart.


Medical Release Form Template

Free Medical Release Form Template

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