Medical Records Release Authorization
Need a medical records release form for your medical practice? Jotform’s Medical Records Release Authorization template allows you to quickly and easily gather signatures from patients or parents or guardians in order to release sensitive medical records to another party. Send out invitations via email, and patients can fill out and sign your authorization form from any device. Once signed, a finalized PDF document will be automatically sent to your inbox — ready to download, print, and share for your records.
Customizing this Medical Records Release Authorization form couldn’t be easier. Using Jotform’s drag and drop builder, you can include your practice’s branding, add or change form fields and checklist items, change fonts and colors, and more. Get rid of messy paperwork and securely collect electronic signatures with Jotform Sign.
Insurance Waiver Template
Create an insurance waiver for employees declining insurance coverage. Works great on any device. Easy to customize and share. No coding knowledge required.
Free Non-Compete Agreement Template
Create a free non-compete agreement with Jotform Sign. Easy to customize and share. Converts to a PDF document. Fill out and e-sign on any device.
Online Therapy Consent Template
Create an online therapy consent form to gather patient consent. Sign and fill out on any device. Drag and drop to fully customize. No coding knowledge required.
Summer Camp Permission Slip
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Release of Information Template
The Release of Information Template is a document that authorizes the disclosure of official or medical records to specific individuals or organizations
Professional Physical Therapy Consent Template
Create a professional physical therapy consent form. Collect e-signatures on any smartphone, tablet, or desktop. Easy to customize and share.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.