img

 

Release Forms are used for various reasons. But one thing is for sure, they are used to protect the interests of both the company or organization and its customers or clients. Laws are becoming more specific nowadays, which is why it is only natural for any company to make sure that they are protected from legal liabilities in the future.

For your perusal, you may download our sample Medical Release Forms. These templates are in PDF format and are easy to print. We have various samples for your various needs. If you do not find what you need on this article, you may also see our other Release Forms for more samples.

Medical Records Release Forms

Medical Records Release Request Form

Details
File Format
  • PDF

Size: 105 KB

Download

Dental Medical Records Release Form

Details
File Format
  • PDF

Size: 30 KB

Download

Sample Medical Records Release Form

Details
File Format
  • PDF

Size: 82 KB

Download

Medical Information Release Forms

Sample Medical Information Release Form

Details
File Format
  • PDF

Size: 62 KB

Download

Patient Medical Information Release Form

Details
File Format
  • PDF

Size: 50 KB

Download

Medical Authorization Release Forms

Medical Treatment Authorization Form

Details
File Format
  • PDF

Size: 4 KB

Download

Minor Medical Authorization Release Form

Details
File Format
  • PDF

Size: 69 KB

Download

Free Medical Authorization Release Form

Details
File Format
  • PDF

Size: 79 KB

Download

What is a Medical Release Form?

To understand what a Medical Release Form is, you first have to understand what a Release Form is. A Release Form is a document that is filled out by a releasor to terminate all future legal liabilities between the releasor and releasee for the circumstance or procedure specified on the Release Form.  A Medical Release Form is one that is used for medical purposes, wherein the releasor can either be a patient or the parent or legal guardian of a patient.

When do you need a Medical Release Form?

A Medical Release Form is used for medical reasons. A few examples are the release of a patient’s medical information, or when an educational institution or sports organization would need to hold events that require the participation of minor students and participants.

A Medical Release Form is used during the latter instance so that in the case of a medical emergency, the school or organization can facilitate the child’s medical treatment. A Medical Release Form can also be used to certify that a participant has been examined by a physician and is deemed healthy enough or physically fit to participate in the event or activity.

Child Medical Release Forms

Child Care Medical Release Form

Details
File Format
  • PDF

Size: 25 KB

Download

Child Emergency Medical Release Form

Details
File Format
  • PDF

Size: 81 KB

Download

Sample Child Medical Release Form

Details
File Format
  • PDF

Size: 4 KB

Download

Social Security Medical Release Forms

Social Security Medical Information Release Form

Details
File Format
  • PDF

Size: 110 KB

Download

Church Medical Release Forms

Church Youth Medical Release Form

Details
File Format
  • PDF

Size: 86 KB

Download

Church Camp Medical Release Form

Details
File Format
  • PDF

Size: 22 KB

Download

Sample Church Medical Release Form

Details
File Format
  • PDF

Size: 2 MB

Download

Medical Records Release Forms

Since the HIPAA or Health Insurance Portability and Accountability Act of 1996 was put in place, there is a privacy rule that prevents any covered entity from disclosing a patient’s health information. A patient’s personal and health information has to be protected and kept confidential to protect his privacy, which is why any covered entity has to have a signed Medical Records Release Form prior to releasing such information.

A covered entity can be a medical facility, medical insurance provider, or any company that is hired by such entities and deals with protected patient health information.

When do you need a Medical Records Release Form?

A Medical Records Release Form can be signed by a patient when the hospital needs to forward his medical records to his health insurers for medical claims. For employers who provide medical benefits to their employees, they can also be forwarded with a patient’s medical records for medical claims.

Aside from this, a Medical Records Release Form can also be used whenever a patient would have to be transferred or referred to another medical facility. The first hospital that treated him should forward his medical records to the receiving hospital to continue the treatment of the patient.

Another time when a Medical Records Release Form is needed is when a patient would take legal action for physical injuries. His medical records would have to be released to examine the extent of the physical injury. This will help calculate the damages done and how much the settlement will be to cover for the patient’s medical expenses.

Another use is for employment purposes, when an applicant has to be certified that he is physically fit for a position. Not only that, it can be used to find out if there are any underlying medical conditions that could be triggered in the job. For this, you may also see our Employee Health Forms.

Minor Medical Release Forms

Basic Minor Medical Release Form

Details
File Format
  • PDF

Size: 64 KB

Download

Minor Child Medical Release Form

Details
File Format
  • PDF

Size: 14 KB

Download

Minor Authorization Medical Release Form

Details
File Format
  • PDF

Size: 54 KB

Download

Emergency Medical Release Forms

Emergency Contact Medical Release

Details
File Format
  • PDF

Size: 178 KB

Download

Emergency Medical Treatment Release Form

Details
File Format
  • PDF

Size: 25 KB

Download

Emergency Training Medical Release

Details
File Format
  • PDF

Size: 220 KB

Download

Sample Emergency Medical Release

Details
File Format
  • PDF

Size: 19 KB

Download

Minor Medical Release Forms

These are used by educational institutions to be filled out by parents or legal guardians of a student or minor child enrolling in their institution for the first time, and also by sports organizations prior to a sports event or activity. Emergencies cannot be avoided entirely, and the best thing to do is to prepare for them.

There are times that no matter how hard the school or a child’s coach tries to contact a parent or legal guardian, they are simply too busy or unavailable to take the call. In medical emergencies, this can be perilous, unless there is a signed Minor Medical Release Form, otherwise known as a Child Medical Consent Form.

A Minor Medical Release Form is signed by the parents or legal guardians of a child under 18 years old or minor, so that the educational institution or sports organization can facilitate the medical treatment of the child to prevent further complications.

This can also be filled out prior to summer camping trips, student field trips, or any other activities deemed necessary by a school board. You may browse through our various forms here. You can use these forms as basis for your own, instead of having to come up with something from scratch.

Student Medical Release Forms

Student Participant Medical Release

Details
File Format
  • PDF

Size: 50 KB

Download

Student Trip Medical Release

Details
File Format
  • PDF

Size: 70 KB

Download

Sample Student Medical Release

Details
File Format
  • PDF

Size: 98 KB

Download

Summer Medical Release Forms

Summer Camp Medical Release

Details
File Format
  • PDF

Size: 31 KB

Download

Summer Enrollment Medical Release

Details
File Format
  • PDF

Size: 199 KB

Download

Sample Summer Medical Release

Details
File Format
  • PDF

Size: 25 KB

Download

Summer Participant Medical Release

Details
File Format
  • PDF

Size: 173 KB

Download

Doctor Medical Release Forms

Doctor Medical Records Release

Details
File Format
  • PDF

Size: 178 KB

Download

Sample Doctor Medical Release Form

Details
File Format
  • PDF

Size: 77 KB

Download

Importance of Minor Medical Release Forms

A Minor Medical Release Form does not only protect the releasee from any legal liabilities for facilitating a child’s medical treatment in the event of an emergency. There are various uses as well. One importance is the provision of emergency contact details.

The parent or legal guardian’s contact details can be provided in a Minor Medical Release Form so that they can be reached or a voice mail can be left in case of an emergency. Alternate emergency contact details may also be provided in case the main emergency contact cannot be reached.

Aside from this, a Minor Medical Release Form contains the child’s medical information, such as any allergies to food and medication, any present medical condition/s, and any medications that the child is presently taking. Aside from this, the parent or legal guardian can also have a space to provide the preferred medical treatment facility or physician who will attend to the child.

All of this information will help the school and the physician in facilitating the medical treatment of the child, which would be hard in the absence of the parents and a Minor Medical Release Form to guide them. You may also see our Emergency Release Forms for other samples.

Related Posts