Professional Medical Release Template

About this template

In 2025, this Professional Medical Release Template is trusted by healthcare providers to securely gather written authorization from patients before disclosing confidential medical information. With Jotform Sign’s free template, you can collect e-signatures online from any device, ensuring a faster, more reliable process for both providers and patients. Simply choose the template, customize it to suit your needs, and share it with patients via email to streamline authorizations in 2025.

Customizing this Professional Medical Release Template is easy with Jotform’s powerful online builder. In 2025, healthcare teams worldwide use drag-and-drop tools to add or edit form fields, include additional signature fields, set up automated signing orders, and upload practice branding. Once a patient signs, a finalized PDF is automatically sent to your inbox — ready to download, print, and share. This 2025-ready template makes patient consent collection quick, professional, and trustworthy with Jotform Sign.

Related templates

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.

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.

Medical Records Release Authorization

Build a medical records release authorization form in seconds. Works on any device. Android and iOS compatible. Converts to a PDF. No coding knowledge required.

Release of Liability Form

Create a release of liability form to ensure your company is covered in case of an accident. Signable on any type of device — desktop, tablet, and mobile friendly.

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

NonProfit Donation Consent Template

Create a nonprofit donation consent form in seconds. Drag-and-drop to design and customize. Collect signatures from any smartphone, tablet, or desktop.

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.