Medical Records Release Form

The Medical Records Release Form provides a HIPAA-compliant authorization for the disclosure of protected health information. Patients specify exactly which records they want released, to whom, and for what purpose. This structured approach ensures your practice meets federal and state privacy requirements while facilitating necessary information sharing between providers, insurers, and other authorized parties.

The form includes granular control over the types of information being released, including options for general medical records, mental health notes, substance abuse treatment records, HIV/AIDS-related information, and genetic testing results. Patients set an expiration date for the authorization and can revoke consent at any time. Special protections for sensitive record categories ensure compliance with 42 CFR Part 2 and state-specific privacy laws.

Essential for every healthcare practice, this form is used when patients transfer to a new provider, apply for disability or life insurance, pursue legal claims, or simply want copies of their own records. Hospitals, multi-specialty groups, and behavioral health practices rely on this form daily to manage information release requests in a compliant and organized manner.