FREE 9+ Release Of Medical Information Form Samples in MS Word | PDF

What is a medical information? A medical information is a record that contains personal patient information. A patient’s medical information should always be kept in a secure place and is considered a private document. These information should only be accessible to authorized doctors or health-care professionals who are tasked in the treatment of the patient.

A patient’s medical record is essential in the treatment of a person receiving the treatment. If you are a patient and you need to have your medical information or records released, the Sample Forms that you will find below will help you with the documents needed to have your medical information released.

Generic Release of Medical Information Form

Social Security Release of Medical Information

HIPAA Release of Medical Information

Authorization for Release of Medical Information

Consent for Release of Medical Information

What Information Does a Medical Record Contain?

• A medical record contains a patient’s unique information such as your name, age, address, and security numbers.
• A patient’s known allergies, medical conditions, drug and smoking habits and past medical conditions are written on a medical record.
• A medical record also contains a patient’s payment information for billing purposes and details of their health insurance provider.
• A patient’s family history, current or past medications and the history of certain diseases which may be genetic.

What to Look for in Medical Release Forms

There are a number of things to look for in a medical release form. It is necessary to check all the information written in these forms. Here are tips on what to look for in a medical information release form.

• It is important to check if a medical information release form has an expiration date. Without an expiration date, a party will have full access to your medical information unless a written letter revokes these rights. It is necessary for you to check them before signing it.
• When making Medical Records Release Forms, only include the information you want to be released.

Release of Medical Record Information Authorization

Release of Medical Information

Release of Medical Information Form in PDF

Medical Record Release Form in PDF

Free Authorization for Release of Medical Information Form

Common Purposes of a Medical Information Release Form

There are various reasons for the release of medical records or information. These organizations need your medical information to gain access to your records.

• Insurance companies need your medical information for insurance record purposes. They need these information for their insurance policies, to pay for injury compensation, and for claims purposes.
• If you are switching to another doctor or medical health professional to provide you with medical treatments, these medical information is necessary to continue treatment. Doctors need to review a patient’s medical history to provide them with the right treatment.
• For legal purposes, the release of medical information is important as evidence for a specific accident, injury, or medical malpractice.
• A medical information release is necessary when applying for a new job. Most companies require them for preemployment to determine if you are physically fit for the job.

 

Before a medical record is released, it will require your consent because you basically have all the rights to them. That’s why a medical release form is important and should be signed by the patient. The forms that you will find on this page will help you with documentation needs. You may also check our Liability Release Forms if you find them useful.