Medical Release Form

A Medical Release Form, also known as a release of medical records authorization form, is a legal document that authorizes the release of an individual's protected medical information. This form should comply with the Health Insurance Portability and Accountability Act (HIPAA).

It allows a healthcare provider or other entity to disclose complete protected health information for review and evaluation concerning a legal claim. This HIPAA release form ensures that healthcare providers and entities comply with the regulations while releasing an individual's medical records, such as an employer or insurance company.

By signing this HIPAA authorization form, the patient or legally authorized representative grants permission for the healthcare provider to release their medical records to a designated third party. Additionally, the form should specify an expiration date or event, after which the authorization is terminated or no longer valid.

It's also important to note that the Medical Release Form only authorizes the release of protected medical information for the specific purpose indicated on it. For example, if the purpose of the release is legal claim review and evaluation, the health provider is only authorized to release relevant medical records.

Releasing and transferring medical records for other purposes would require a separate authorization form. This ensures that the patient's privacy and confidentiality are protected and that medical record information release is only conducted for specific and authorized purposes.