Sign a records release to move your medical files

Changing doctors, filing an insurance claim or seeing a specialist? A signed release authorises your provider to send your records. Fill in who sends what to whom, sign it and send it off.

Who, what, to whomSign and dateNothing uploaded

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Completing a release

Be specific to avoid delays.

  1. 1

    Sender and recipient

    Name and address of the provider releasing the records and who receives them.

  2. 2

    Which records

    All records, or specific dates, tests or treatments.

  3. 3

    Sign and date

    Sign as the patient or legal representative.

Avoid delays

Exact names

Use the practice's full name and address.

Date ranges

Narrow ranges are processed faster.

Expiry

Many releases expire after a period — check the date.

Fees and timelines

Providers may charge a small fee for copies and usually have a legal deadline to respond. Ask the office how long it typically takes.

Questions

Do I need a separate release for each provider?+

Usually yes, one per provider releasing records.

Can a family member sign?+

Only with legal authority, such as guardianship or power of attorney.

What does it cost?+

Free to try. Downloading your signed PDF costs €2.99 a month or €24.99 a year, and you can cancel anytime.

Release your records

Choose the form above.

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