Medical records release
Authorise a provider to release your health records to a person or organisation you choose.
Allow a named person to receive your medical records.
- Personal / Legal document
How to get this document
Ready to use
Ready-to-use document + 1-hour consultation
$50.00
Placeholder price — not a confirmed price.
Download the ready-to-use document and get a one-hour consultation with a specialised lawyer.
- The document as a file you download
- A one-hour consultation with a specialised lawyer
- A standard version you complete yourself
Lawyer prepares it
Still not sure? Talk to a lawyer
$70.00
Placeholder price — not a confirmed price.
Don’t worry: book a consultation, tell the lawyer what you need, and they will prepare the document for you.
- A consultation with a specialised lawyer
- You describe what you need, in your own words
- The lawyer prepares the document for you
Key features
Which records
A list covering a date range, the kinds of record, records on one condition or provider, and anything else to include.
Records kept out
A separate blank for records you do not want released, such as mental health, substance use, genetic testing or reproductive care.
Purpose and delivery
Why the records are being released, how they are sent (mail, secure email, portal, disc) and who pays for copying.
Duration and withdrawal
An end date or event, with a statement that you may withdraw it in writing, which does not undo a release already made.
Someone signing for you
A blank for a person signing on your behalf, such as a parent of a minor or an agent, and the authority they sign under.
About this document
A medical records release is your written permission for a doctor, hospital or other holder to send your health records to someone else, such as another doctor, an insurer, a lawyer or a family member. You decide which records, for what purpose and for how long.
This is a blank form to complete by hand. Many providers insist on their own authorization form, and the rules on what such a form must contain differ by state and by kind of record, so check with the provider first or ask a lawyer.
Is this document right for you?
Useful when
- You are moving to a new doctor or getting a second opinion
- An insurer or lawyer needs your records
- A relative helps manage your care and needs your records
Commonly used by
- Patients changing providers
- People making insurance or benefits claims
- Families helping an older relative
Not sure? about your situation first.
Alternatives
These are separate documents, for different jobs.
- Authorization lettersGive someone permission to act for you on a specific matter.View document
- Healthcare directiveSet out your healthcare wishes and who can speak for you.View document
- Child medical consentLet another adult agree to medical care for your child.View document
- Personal care profileShare your routines and care preferences with those caring for you.View document
When to use this
- Sending a specialist your full history
- Releasing records for an insurance claim
- Giving a lawyer records for a legal matter
What happens next
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More in Health Care Planning
- Living willRecord your wishes about medical treatment in advance.View document
- Healthcare directiveSet out your healthcare wishes and who can speak for you.View document
- Personal care profileShare your routines and care preferences with those caring for you.View document
- End-of-life planWrite down your wishes for your final arrangements.View document
Ready when you are.
Questions
About the medical records release
Many insist on their own. Ask first, and use this one where it is accepted or to prepare your wishes.
Still have a question? .