Enable patients to authorize the release of their medical records using this secure and compliant Medical Records Release Form App Block. Designed for healthcare organizations, this form supports disclosures to individuals, providers, or third-party organizations. This form is intended for Caspio HIPAA compliant plans. Patients or their legal representatives can complete and submit the form digitally. Upon submission, a confirmation message is shown, and an email notification is sent to your designated admin or compliance team for processing and documentation. Built on Caspio Flex, the form is fully customizable. You can add fields for authorization expiration, delivery method, or recipient contact details. Easily embed it into your patient portal or send it as a secure link. Need help configuring any part of it? We're here to assist..

Features

• Captures patient info, recipient details, and purpose of disclosure.
• Displays confirmation message to the patient upon submission.
• Sends email notifications to internal staff or compliance team.
• Fully customizable using Caspio’s low-code platform.
• Embed in patient portals, websites, or use as a standalone link.
• Supports HIPAA-aligned workflows for healthcare documentation.
• Reduces paper-based authorizations and streamlines processing.