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Medical Release Form

Whether you have a private clinic or run a hospital, it is crucial to have the consent of your patients for their medical information/records to be released. Unlike printed documents, online forms can be a great way to achieve this since it is easier and more accessible. And this free medical release form template will help you create your forms in minutes!

Medical Release Form


What is a medical release form?

An online medical release form is a digital form that patients can complete to give their healthcare provider authorization to share their health information. The form can be completed and submitted electronically, which can save time and paperwork for both the patient and the provider.

This type of medical consent form can be used to authorize the release of information such as medical records, test results, and other health information. It can also be used to authorize the provider to contact other healthcare providers or specialists on the patient's behalf. The form should include the patient's name, date of birth, and contact information. The patient should also acknowledge the type of information they authorize to be released and to whom.

What is on a medical release form?

The form may include terms and conditions related to the release of information. It is important that patients review the form carefully and make sure they understand all the terms before signing it electronically. Once the form is signed, the provider will be able to access the patient's health information and release it as needed. A medical release form is an important document that should be included in every patient's medical file. A medical release form typically includes the following information:

  • Patient's name
  • Date of birth
  • Contact information
  • Questions about medical history
  • Information authorizing the release of medical records, test results, etc.
  • To whom the information will be released (e.g. healthcare provider, specialist, etc.)
  • Type of information being released
  • Signature of patient

How do I create a medical release form?

A medical release form helps to ensure that the patient's health information is available when and where it is needed. It also helps to protect the patient's privacy by authorizing only those individuals who need access to the information to have it. This form can be stored online or printed at health care provider offices.

As an all-around form builder, allows you to create agreement forms in minutes without any coding. By changing some of the content, you can also make this form suitable for a minor child by allowing his/her parents or guardians to sign. For creating better consent forms, make sure to visit our useful guides. Simply use this free medical release form template to create your own form today!

The simple answer to this question is “yes.” Online agreements are legally binding, in the exact way that paper contracts are. You can easily create an online agreement form and collect responses without worrying. These agreements will be as effective as printed forms, so long as the respondents give their consent to the statements or sign the document. 

Electronic signatures are considered legal in most of the world, including the United States and the European Union. E-signatures hold the same legal status as paper-based signatures, and they are easier to collect. By adding a signature field to your form on, you can easily get people’s consent and let them sign your online document.

Creating online contracts and agreement forms is an easy job with a form builder like People can simply build online agreements or release forms on without any need for coding. It is possible to create agreement forms for many purposes, add your terms & conditions, and collect consent from your respondents. In order to create your own form, you can simply follow these steps:

  • Find a suitable agreement form template
  • Click on the “use template” button
  • Customize your form according to your preferences
  • Adjust the form settings
  • Lastly, share your online form with your audience

Online agreement forms can be used for personal, academic, medical, or business purposes. In order to help you use the full potential of online forms, offers many advanced features and form fields for its users. For example, you can create a complex form with conditional logic, collect signatures, add your own terms and conditions, add your company logo to your form, and customize your form design with a single click.