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Medical Release Form Template
- 100 submissions per month
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- Use your own logo and branding
- Share and publish it anywhere
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Join 1.5 million happy customers that build forms & surveys with 123FormBuilder
Customize template
See howSimplify the authorization process of providing medical treatment to minors. With 123FormBuilder, you can build and customize the medical release form that you need, and have it shared with the parents or legal guardians of your patient. Give the form the look that it needs, configure it with the appropriate settings, and enable data encryption to secure all health information.

Publish template
See howPost the medical release form anywhere online with just a copy & paste effort. You can add it to your internal network and share it from a desktop or mobile device.

Collect & manage data
See howSave each medical consent in a secure and private repository from where you can edit each medical authorization.

Optimize your flow
See howMedical release forms are processed daily at clinics and hospitals where minors are being treated. With the online medical release form template, half of your job is done. All you are left with is to make sure that all the medical information that you require is provided on the form through the proper questions. Get the medical release form template for free!

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