Professional Medical Release Template

About this template

In 2025, this Professional Medical Release Template is trusted by healthcare providers to securely gather written authorization from patients before disclosing confidential medical information. With Jotform Sign’s free template, you can collect e-signatures online from any device, ensuring a faster, more reliable process for both providers and patients. Simply choose the template, customize it to suit your needs, and share it with patients via email to streamline authorizations in 2025.

Customizing this Professional Medical Release Template is easy with Jotform’s powerful online builder. In 2025, healthcare teams worldwide use drag-and-drop tools to add or edit form fields, include additional signature fields, set up automated signing orders, and upload practice branding. Once a patient signs, a finalized PDF is automatically sent to your inbox — ready to download, print, and share. This 2025-ready template makes patient consent collection quick, professional, and trustworthy with Jotform Sign.

Related templates

Doctors Note Template

Create a doctor’s note for your medical practice. Sign and send to your patients. Works on mobile, tablet, and desktop devices. Drag and drop to design.

Interview Consent Agreement

Gather interview consent forms online. Can be filled out and signed on any device. Converts to a PDF instantly. Easy drag-and-drop customization.

Free Non-Compete Agreement Template

Create a free non-compete agreement with Jotform Sign. Easy to customize and share. Converts to a PDF document. Fill out and e-sign on any device.

Rent Ledger Template

Create a rent ledger agreement in seconds. Fill out and e-sign from any smartphone, tablet, or desktop. Easy to customize and share. Converts to a PDF.

HIPAA Release Form Template

HIPAA (Health Insurance Portability and Accountability Act), also known as Public Law 104-191, is a law passed in the United States that protects and safeguards the privacy of medical information and has two main purposes: First, to provide continuous health insurance coverage to workers who switch jobs or lose their jobs; Second, is to standardize the electronic transmission and transactions for security and protection of information. This law was primarily passed due to proliferation of data breaches concerning health information.This HIPAA Release Form PDF Template is a standard release authorization form for disclosure of health information for healthcare and health insurance providers which the subject or person consents on disclosing his health information to a certain healthcare organization. This HIPAA Release Form PDF Template is easy to modify and flexible to use.

Release of Liability Form

Create a release of liability form to ensure your company is covered in case of an accident. Signable on any type of device — desktop, tablet, and mobile friendly.

These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.