This medical records release form allows a patient to list the names of family members, friends, clergy, health care providers, or other third (3rd) parties to whom they wish to make their medical records available. The document should be tailored to the specific records you would like to give access to and in what manner. This document may be revoked and/or reassigned at the discretion of the patient at any time.
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This means you use the templates at your own risk, agree to assume all the risks and liabilities that come with using template forms, will not have any confidential or privilege protection for your communications with the firm, and the lawyers with the firm will have no obligation to avoid conflicts of interest or comply with certain provisions of the attorney Rules of Professional Conduct
