Chiropractic Patient Authorization to Release Medical Records

Get this Authorization form signed in order to get access to a patient's medical records for purposes of chiropractic treatment.

• The patient's doctor or other medical service provider is directed to release the patient's medical records to the chiropractor so that treatment can begin.
• This is a generic patient authorization form that can be used anywhere.
• You can easily customize the form with your logo, office address and phone number.

Pre-printed forms are expensive. Download the Patient Authorization Form and use it as often as you like - no more restocking costs, print as many as you need.