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How to use or fill out authorization release information with our platform
- Click ‘Get Form’ to open the Authorization to Release Medical and Hospital Information in the editor.
- In the first section, enter the name and address of your physician. This ensures that your attorney can obtain the necessary medical records.
- Next, fill in the name of your attorney or law firm. This identifies who will be receiving your medical information.
- Specify the name of the insurance company or defendant involved in your personal injury claim. This provides context for the release.
- Review the authorization statement carefully. Ensure it clearly states that you authorize your physician to share all relevant information with your attorney.
- Sign and date the form at the bottom. Your signature confirms that you agree to this release of information.
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