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The medical record information release (HIPAA) form allows a patient to give authorization to a 3rd party and access their health records. The release also allows the added option for healthcare providers to share information.You can use this authorization form to tell us what information you would like to share, who the recipient is, and how the information should be sent. Geisinger Instructions to Complete the Authorization to Release Medical. As soon as we can complete your request, it will be provided or sent. I am entitled to a copy of this completed Authorization form. Additional Patients Rights and Responsibilities. Prepare when a general authorization to release medical information is needed to complete HHSC forms. Please read all information and instructions before completing and signing the authorization form. In its most common and legally binding form, this is called a medical release form.