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INSTRUCTIONS: Staff member completes this form for patient and must sign at the bottom to validate new request or changes. Please type or print. 2.All portions of this form must be completed to constitute a valid authorization for release of health information under the. By my signature below I authorize Indiana Health Group to release my medical records and communicate with the parties listed below in. Use this form to request your medical records from American Health Network (AHN) or to ask AHN to send your records to another facility. I understand that I am not required to sign this Authorization in order to receive health care treatment. A request to obtain copies of your medical record can be completed: Online. Complete the Authorization for Release of Health Information Form. This includes citizens and noncitizens. Both employees and employers (or authorized representatives of the employer) must complete the form.