Release of Medical Information Template
A release of medical information form is a document that outlines the terms and conditions under which an individual gives authorization to disclose their personal health information. This type of release form includes general information like the patient’s name, contact information, and e-signature, along with more specific content like a description of the information being released, the purpose for the release, and the authorized individuals or entities that may receive the patient’s information. This Release of Medical Information form serves as legal authorization for healthcare providers, insurance companies, government agencies, and other authorized parties to access a patient’s medical records and other health-related information.
Need to gather authorization for release of sensitive medical information from your patients? Jotform Sign’s got you covered with this free Release of Medical Information template. This medical consent form lets you fill out details such as contact information, medical history, consent, and signature. Share it via email to collect e-signatures from patients from any smartphone, tablet, or desktop.
Make this Release of Medical Information form your own in seconds with Jotform’s powerful online builder. Simply drag and drop to include your practice’s branding, add or change form fields and checklist items, change fonts and colors, set up an automated signing order, and much more. Get rid of messy paperwork and securely collect electronic signatures from patients with Jotform Sign.
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.
General Release of Liability Form
Create a liability form for any and all of your needs. Works on all desktop, tablet, and mobile devices. Drag and drop to customize. Collect e-signatures.
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.
Professional Physical Therapy Consent Template
Create a professional physical therapy consent form. Collect e-signatures on any smartphone, tablet, or desktop. Easy to customize and share.
Summer Camp Parental Consent
Create a summer camp consent form for parents of your campers. Intuitive form building. No coding required. Drag and drop to design. iOS and Android compatible.
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