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

Eyelash Extension Consent

Create professional consent forms for your eyelash extension business needs. Download responses as PDFs. Works on Android and iOS devices. Easy to customize.

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.

Hospital Discharge Template

The Hospital Discharge Template is a detailed document that provides patients with instructions and information upon discharge from a healthcare facility

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

Summer Camp Permission Slip

Create summer camp permission slips for parents of your campers. Intuitive form building. Drag and drop to design. Works on desktop, tablet, and mobile devices.

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.

The e-sign templates here are for informational purposes only. Jotform is not providing legal, financial, or other advice, or implying that the forms are legally valid in all or any jurisdictions. Before using any such template, consult an attorney and/or other applicable professionals to make sure that the form meets your needs, legally and otherwise.