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Out a third party authorization form. With this medical consent PDF template, you can get online authorization from your patients, then you can record their data easily.One form in the thick packet handed to homeowners is the authorization to release information, or ARI. Sellers Authorization to Release Information and Request to. Authorization to Release Information. Enter the service area of the HSPHD employee completing this form. I, or my authorized representative, request that health information regarding my care and treatment be released as set forth on this form. 1 pageMissing: real ‎estate Complete the digitally fillable sections of form; Print a hardcopy; Mail, hand carry or fax to our office. The fax number is .