MEDICAL AUTHORIZATION RELEASE 2026

1. Click ‘Get Form’ to open the MEDICAL AUTHORIZATION RELEASE in our platform's editor.
2. Begin by entering your personal information at the top of the form, including your name and claim number. This ensures that your authorization is correctly linked to your workers' compensation claim.
3. In the section requesting physician information, list all doctors who have treated you in the last five years. For each physician, provide their name, phone number, specialty, and address. If you need more space, feel free to attach a separate sheet.
4. Review the consent statement carefully. Ensure you understand that you are authorizing the release of your medical records to Inspirien Insurance Company and its agents.
5. Sign and date the form at the bottom. Make sure to include your date of birth for verification purposes.

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