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Medical Records Release Form PDF Template

(1 customer review)

The purpose of this medical records release form is to allow a practitioner to share client information with an outside party, such as an employer, insurance company, family member, another doctor / healthcare provider, or a third party. Our Medical Records Release Form PDF Template (Editable, Fillable, Printable) is perfect for therapists, counselors, psychologists, psychiatrists, medical doctors, and other practitioners.

This Medical Records Release Form PDF Template is part of our new counseling practice forms bundle and can be downloaded and used with all your clients, giving them the ability to fill it out on a digital device or print it out.

This template is part of the Counseling Practice Forms Bundle

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Click on an image below to get a closer look at what's included in this template.

(1 customer review)

1 review for Medical Records Release Form PDF Template

  1. Dana F. (verified owner) –

    Great template. Easy to use.

Only logged in customers who have purchased this product may leave a review.

Benefits of Our Templates:

  1. Fillable PDF forms: Quickly fill out our template on a digital device like a computer or print out
  2. Not all text is editable, however, If you need to edit a question/words, we can provide you with a free site to make changes
  3. Each template purchase can be used for an unlimited number of clients
  4. Professionally designed to make your practice look its best
  5. Unlimited downloads
  6. Organize all your client documents in an easy to find folder on your computer or in the cloud
  7. Can be legibly read by both you and your clients
  8. Can be printed in high quality
  9. Standard U.S. letter size - 8.5" x 11"
  10. Search for specific parts your plan quickly by using "CTRL + f" function on your keyboard
  11. Can be uploaded to HIPAA compliant docusharing websites to gather appropriate signatures if needed remotely

This Product Includes:

  1. License for 1 mental health practitioner
  2. Fillable PDF template(s) that can be used on a digital device or printed out and filled in by hand
  3. Ability to be filled in or edit most text (we provide a free online tool to make edits if needed)

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