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.
Doctors Note Template
Create a doctor’s note for your medical practice. Sign and send to your patients. Works on mobile, tablet, and desktop devices. Drag and drop to design.
Professional Medical Release Template
Create a professional medical release template. Great for medical practices and therapists. Collect signatures online. Converts to PDF. Easy to customize and share.
Power of Attorney Form
Create a professional power of attorney form. Signable on any smartphone, tablet, or desktop. Easy to customize and share with others. Converts to PDF.
Background Check Template
Create a custom background check form for your business. Converts into PDF. Easy to share and embed. Works on any device. Android and iOS compatible. No coding.
Interview Consent Agreement
Gather interview consent forms online. Can be filled out and signed on any device. Converts to a PDF instantly. Easy drag-and-drop customization.
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.
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.