Hospital Release Forms

19 Templates

Hospital release forms are essential documents used by healthcare facilities to authorize the discharge of patients, transfer of medical records, or release of liability. These forms serve as a formal agreement between the hospital, patient, and sometimes third parties, ensuring that all parties understand the terms of the release—whether it’s for leaving the hospital, sharing sensitive health information, or waiving certain responsibilities. Common use cases include patient discharge authorizations, medical record release requests, consent for transfer to another facility, and liability waivers for specific treatments or procedures.

With Jotform, creating and managing hospital release forms becomes seamless and secure. Jotform’s no-code allows healthcare professionals to quickly design custom forms tailored to their specific needs, whether for patient discharge, information sharing, or legal compliance. The drag-and-drop interface, HIPAA friendly options, and integration with secure payment gateways and notification systems make it easy to collect, store, and manage sensitive data efficiently. By leveraging Jotform’s advanced features, hospitals and clinics can streamline their workflows, reduce paperwork, and ensure that all releases are properly documented and accessible.

Use Cases of Hospital Release Forms

Hospital release forms are versatile tools that address a variety of administrative and legal needs within healthcare settings. Their primary function is to document consent, authorization, or waiver in situations involving patient care, data sharing, or liability. Here’s how they are used, who uses them, and how their content may differ:

Possible Use Cases:

  • Patient Discharge Authorization: Formalizes the process of releasing a patient from hospital care.
  • Medical Records Release: Allows patients to authorize the sharing of their health information with other providers or third parties.
  • Transfer of Care Consent: Documents approval for transferring a patient to another facility or specialist.
  • Liability Waivers: Used for procedures or treatments where the patient acknowledges and accepts certain risks.
  • Parental or Guardian Consent: Required for minors or incapacitated patients.

Problem Solving Points:

  • Helps legal compliance and proper documentation.
  • Protects hospitals from liability by clarifying responsibilities.
  • Facilitates smooth transitions of care and information sharing.
  • Reduces administrative errors and delays.

Possible Owners and Users:

  • Hospital administrators and discharge coordinators.
  • Medical records departments.
  • Physicians and nursing staff.
  • Patients and their families or legal representatives.

Differences of Creation Methods:

  • Discharge forms may require fields for patient condition, follow-up instructions, and signatures.
  • Medical record release forms focus on recipient details, specific records to be shared, and consent checkboxes.
  • Liability waivers emphasize risk acknowledgment and may include detailed procedure descriptions.
  • Parental consent forms require guardian information and relationship to the patient.

In summary, hospital release forms are adaptable to various scenarios, with their structure and content tailored to the specific authorization or consent required.

How to Create a Hospital Release Form

Creating a hospital release form with Jotform is a straightforward process that ensures your facility’s documentation is both comprehensive and HIPAA-friendly. Whether you need a patient discharge form, a medical records release, or a liability waiver, Jotform’s intuitive platform allows you to customize forms to fit your exact requirements. Here’s how you can create a hospital release form tailored to your use case:

1. Start with the Right Template or a Blank Form:

Log in to your Jotform account and click “Create” on your My Workspace page.

Choose “Form” and either start from scratch or select from Jotform’s library of hospital release form templates.

Decide on the layout: Classic (all questions on one page) or Card (one question per page).

2. Add Essential Form Elements:

  • Use the drag-and-drop Form Builder to add fields such as:
  • Patient name, date of birth, and contact information.
  • Hospital or department details.
  • Type of release (discharge, records, transfer, waiver).
  • Specifics of the release (e.g., records to be shared, receiving party, reason for discharge).
  • Consent and acknowledgment checkboxes.
  • Signature fields for patients, guardians, and hospital staff.
  • Date fields for documentation.

3. Customize for Your Use Case:

  • For discharge forms, include sections for discharge instructions, follow-up appointments, and medication lists.
  • For medical record releases, add fields for recipient information, purpose of release, and expiration date of consent.
  • For liability waivers, provide detailed descriptions of procedures and associated risks.
  • For parental consent, ensure guardian details and relationship to the patient are clearly captured.

4. Enhance Security and Compliance:

  • Enable HIPAA friendly features if handling sensitive health information.
  • Set up conditional logic to show or hide fields based on user responses (e.g., only display guardian fields if the patient is a minor).

5. Design and Branding:

Use the Form Designer to match your hospital’s branding by uploading logos, adjusting colors, and applying professional themes.

6. Set Up Notifications and Workflow:

  • Configure email notifications to alert staff when a form is submitted.
  • Set up autoresponder emails to provide patients or recipients with a copy of the completed form.

7. Publish and Share:

  • Click “Publish” to generate a shareable link or embed the form on your hospital’s website or patient portal.
  • Share the form via email or secure messaging as needed.

8. Test and Manage Submissions:

  • Preview the form and submit a test entry to ensure all fields and notifications work correctly.
  • Access and manage submissions securely in Jotform Tables, where you can filter, search, and export data as needed.

By following these steps, you can create hospital release forms that are tailored to your facility’s needs, ensuring efficient and secure documentation for every scenario.

Frequently Asked Questions

1. What is a hospital release form?

A hospital release form is a document used to authorize the discharge of a patient, the release of medical records, or the transfer of care, ensuring all parties understand and consent to the terms.

2. Why are hospital release forms important?

They protect both the hospital and the patient by documenting consent, clarifying responsibilities, and helping compliance with legal and regulatory requirements.

3. What information is typically included in a hospital release form?

Common fields include patient details, type of release, recipient information, consent statements, signatures, and dates.

4. Are there different types of hospital release forms?

Yes, there are various types, such as discharge authorizations, medical record releases, transfer consents, liability waivers, and parental consent forms.

5. Who can sign a hospital release form?

Typically, the patient signs the form. For minors or incapacitated patients, a parent, guardian, or legal representative may sign on their behalf.

6. How is patient privacy protected when using hospital release forms?

Forms should comply with privacy regulations like HIPAA, ensuring that sensitive information is securely collected, stored, and shared only with authorized parties.

7. Can hospital release forms be used for electronic health record (EHR) transfers?

Yes, medical record release forms can authorize the transfer of EHRs to other healthcare providers or facilities.

8. What happens if a hospital release form is not properly completed?

Incomplete or improperly filled forms can delay patient discharge, information sharing, or transfers, and may expose the hospital to legal risks.

COVID 19 Liability Release Waiver

Start collecting your participants' liability release waiver for this pandemic using this COVID-19 Liability Release Waiver Template. Just connect your device to the internet and load your form and start collecting your liability release waiver. Get this here in Jotform!

Go to Category:Consent Forms

Patient Photo Release Form

Go paperless and immediately store your consent to your records. Use this Patient Photo Release Form template and get your photo release consent from patients immediately!

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Release Of Medical Information Form

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Permission And Medical Release Form

This is an interactive electronic version of the permission and medical release form used by the Church of Jesus Christ of Latter Day Saints. Note this was not made by the Church of Jesus Christ of Latter Day Saints nor is it endorsed by them. It was made for the individual purposes of the Oak Hills Stake Youth organization.

Go to Category:Registration Forms

Dental Records Release Form

A dental records release form is used by a dentist to collect patient’s medical records from their other doctors. The dental records release form can be customized to fit the way you conduct your business.

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Authorization To Release Dental Information Form

An Authorization to Release Dental Information Form is a form template designed to streamline the process of transferring dental records to another dentist or for insurance companies to cover the cost of treatment

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Covid 19 Questionnaire And Release Form

A Covid-19 questionnaire and release form is used by medical professionals to collect information from patients about the Covid-19 vaccine. No coding!

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Authorization For Release Of Protected Health Information Form

Secure yourself or your company when utilizing your patients or any person's health information in your possession properly. Get this Authorization For Release Of Protected Health Information Form template and start getting the proper consent right away!

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X RAY Release Form

An X-RAY release form is a document used by a medical provider to collect information from a patient regarding his/her condition, and also to sign an authorization allowing the provider to take X-Rays.

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Pediatrics Medical Release Form

A pediatric medical release form is a legal document that authorizes medical staff to treat a minor. Use this free Pediatrics Medical Release Form template to collect informed consent from parents for pediatric care!

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Precautionary Coronavirus Liability Release Form

This COVID-19 Release Form is crafted specifically for spa industries to gather the consent of their customers to the service terms and precautionary conditions.

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Urgent Care Work Release Form

An Urgent Care Work Release Form is a form template designed to help hospitals request the release of patients from the hospital to work.

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Minors COVID 19 Liability Release Waiver

This minors COVID-19 liability release waiver form is used by parents and/or guardians to grant permission for minors to receive the COVID- 19 vaccines. No coding!

Go to Category:Church Forms

Privacy Release Form

A privacy release is a legal document that employees sign in order to authorize the employer to release their personal information. Use Jotform to get what you need!

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Hospitalization Claim Form

A hospitalization claim form is a document used by medical insurance companies to submit a claim for medical treatment

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Telehealth Release Form

Get consenting patient signatures or release patients from treatment online. Easy to customize, share, and integrate. No coding. HIPAA-friendly plans.

Go to Category:Healthcare Forms

Medicare Consent Release Form

A Medicare consent release form is a document used by healthcare organizations to consent to patients being cared for by another practice.

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Dental Cleaning Release Form

A Dental Cleaning Release Form is a form template designed to facilitate risk management and ensure legal and ethical compliance in dental clinics.

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These templates are suggested forms only. Before using this or any form as a contract or other legal document, please consult with an attorney to make sure it meets the legal needs or your situation. Do not use this form to send a legal request to Jotform.