E Signature Medical Records Release Form Gratuito

Create a legally-binding electronic signature and add it to contracts, agreements, PDF forms, and other documents – regardless of your location. Collect and track signatures with ease using any device.
Drop document here to upload
Select from device
Up to 100 MB for PDF and up to 25 MB for DOC, DOCX, RTF, PPT, PPTX, JPEG, PNG, JFIF, XLS, XLSX or TXT
Note: Integration described on this webpage may temporarily not be available.
Card illustration
Upload a document
Card illustration
Generate your customized signature
Card illustration
Adjust the size and placement of your signature
Card illustration
Download, share, print, or fax your signed document

Every eSignature tool you need – inside a powerful PDF software

eSignature solution
Document tracking
Enhanced productivity
Custom branding
Security & compliance

eSign documents and collect signatures

Easily fill, edit, and sign your PDF documents in a single application, on any device.
Type, draw, or use a signature converter to create an eSignature from a picture of your handwritten autograph.
Create fillable PDFs and send them for signature to one or multiple recipients.
Set signer roles and customize a signing order.

Get visibility into the signing process

Receive instant alerts once signatures are in place.
Specify CC’d recipients and set actions upon document completion.
Monitor changes in your documents with audit trails.

Speed up your approval workflows

Send documents for signature faster by sharing them via short links.
Simplify data and signature collection by posting fillable PDF forms online.
Collect payments along with signed documents.

Showcase your branding when requesting signatures

Display your logo on signature invites, user notifications, and in the eSignature editor.
Customize an email message for your eSignature invites.
Redirect signers to your website once they complete your document.

Maintain industry-leading security and compliance

Authenticate signers via a password.
Make your document workflows compliant with industry-specific regulations, including HIPAA.
Secure the authenticity of a document with a unique ID.
Set an expiration date for your document.

Join the world’s largest companies

Employees at these companies use our products.

How to Send a PDF for eSignature

G2 Badge
pdfFiller scores top ratings in multiple categories on G2
4.6/5
— from 710 reviews
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Best Support - Summer 2025
Easiest Setup- Summer 2025
5.0
This service is very user friendly and… This service is very user friendly and offers a wide range of editing tools. Perfect for filling out paperwork and editing invoices. For chromebook it's better use the service on a web browser rather than the app.
Jonathon C
4.0
I used this one time for squares for a fundraiser and was looking forward to continuing using this service needed for a side job; however, this side job fell through. I thought I had cancelled on March 2, but must have not submitted something. I was charged today. If I could be refunded I would really appreciate it.
Candice S

Sign any document using pdfFiller’s eSignature service without hassle

Add your virtual signature in just a few simple steps – without a scanner or printer.

Upload

Upload your document to pdfFiller and open it in the editor.
Screenshot 1

Sign

Generate and save your electronic signature using the method you find most convenient.
Screenshot 2

Tweak

Resize your signature and adjust its placement on a document.
Screenshot 3

Retrieve

Save a signed, printable document on your device in the format you need or share it via email, a link, or SMS. You can also instantly export the document to the cloud.
Screenshot 4
Upload document
Screenshot 1
Screenshot 2
Screenshot 3
Screenshot 4

Why choose pdfFiller for eSignature and PDF editing?

Card illustration

Cross-platform solution

Upload your document to pdfFiller and open it in the editor.
Card illustration

Unlimited document storage

Generate and save your electronic signature using the method you find most convenient.
Card illustration

Widely recognized ease of use

Resize your signature and adjust its placement on a document.
Card illustration

Reusable templates & forms library

Save a signed, printable document on your device in the format you need or share it via email, a link, or SMS. You can also instantly export the document to the cloud.

The benefits of electronic signatures

Bid farewell to pens, printers, and paper forms.
Card icon

Efficiency

Enjoy quick document signing and sending and reclaim hours spent on paperwork.
Card icon

Accessibility

Sign documents from anywhere in the world. Speed up business transactions and close deals even while on the go.
Card icon

Cost savings

Eliminate the need for paper, printing, scanning, and postage to significantly cut your operational costs.
Card icon

Security

Protect your transactions with advanced encryption and audit trails. Electronic signatures ensure a higher level of security than traditional signatures.
Card icon

Legality

Electronic signatures are legally recognized in most countries around the world, providing the same legal standing as a handwritten signature.
Card icon

Sustainability

By eliminating the need for paper, electronic signatures contribute to environmental sustainability.

Enjoy straightforward eSignature workflows without compromising data security

Card icon

GDPR compliance

Regulates the use and holding of personal data belonging to EU residents.
Card icon

SOC 2 Type II Certified

Guarantees the security of your data & the privacy of your clients.
Card icon

PCI DSS certification

Safeguards credit/debit card data for every monetary transaction a customer makes.
Card icon

HIPAA compliance

Protects the private health information of your patients.
Card icon

CCPA compliance

Enhances the protection of personal data and the privacy of California residents.

E Signature Medical Records Release Form

The E Signature Medical Records Release Form simplifies the process of authorizing the sharing of your medical records. This digital solution saves time, reduces paperwork, and enhances security, allowing both patients and healthcare providers to focus on what truly matters—healthcare.

Key Features:

Easy-to-use digital signature option
Secure storage of signed documents
Instant delivery to authorized parties
User-friendly interface for all ages
Compliance with legal and healthcare standards

Potential Use Cases and Benefits:

Patients can quickly release their records to new providers
Healthcare offices can streamline their intake processes
Insurance companies can obtain necessary documents efficiently
Researchers can access patient records with proper authorization
Family members can manage a loved one's healthcare documentation easily

By utilizing the E Signature Medical Records Release Form, you address common challenges in sharing medical information. You reduce the hassle of paper forms, avoid delays in treatment, and ensure that your sensitive data remains protected. This tool provides clarity and convenience, making it a valuable addition to your healthcare management.

Create a legally-binding E Signature Medical Records Release Form in minutes

pdfFiller enables you to handle E Signature Medical Records Release Form like a pro. No matter the platform or device you use our solution on, you'll enjoy an intuitive and stress-free method of executing paperwork.

The entire pexecution flow is carefully protected: from uploading a document to storing it.

Here's the best way to create E Signature Medical Records Release Form with pdfFiller:

Select any available option to add a PDF file for signing.

Screenshot

Utilize the toolbar at the top of the interface and select the Sign option.

Screenshot

You can mouse-draw your signature, type it or add a photo of it - our tool will digitize it automatically. As soon as your signature is set up, click Save and sign.

Screenshot

Click on the document area where you want to add an E Signature Medical Records Release Form. You can move the newly generated signature anywhere on the page you want or change its configurations. Click OK to save the adjustments.

Screenshot

As soon as your document is all set, click on the DONE button in the top right area.

Screenshot

As soon as you're through with signing, you will be taken back to the Dashboard.

Utilize the Dashboard settings to get the completed form, send it for further review, or print it out.

Still using multiple programs to manage and sign your documents? We have an all-in-one solution for you. Use our document management tool for the fast and efficient work flow. Create fillable forms, contracts, make document template sand more useful features, within one browser tab. You can use E Signature Medical Records Release Form with ease; all of our features, like orders signing, reminders, attachment and payment requests, are available instantly to all users. Have the value of full featured program, for the cost of a lightweight basic app. The key is flexibility, usability and customer satisfaction. We deliver on all three.

How to edit a PDF document using the pdfFiller editor:

01
Drag and drop your document to the uploading pane on the top of the page
02
Find the E Signature Medical Records Release Form features in the editor`s menu
03
Make the needed edits to the document
04
Click “Done" button to the top right corner
05
Rename the document if it's required
06
Print, download or email the file to your computer

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What if I have more questions?
Contact Support
Zoom is a HIPAA compliant web and video conferencing platform that is suitable for use in healthcare, provided a HIPAA-covered entity enters into a business associate agreement with Zoom prior to using the platform.
A: No. The HIPAA Privacy Rule does not require you to notarize authorization forms or have a witness. Though taking the time to fill out an authorization form and get a patient's signature is an extra step, it's an important one that you can't afford to overlook.
After that, the regulation generally requires that you retain any signed Acknowledgement for at least six years after the patient is no longer active in your practice.
PHI stands for Protected Health Information and is any information in a medical record that can be used to identify an individual, and that was created, used, or disclosed in the course of providing a health care service, such as a diagnosis or treatment.
Health care providers will ask patients to sign a form saying that they received a copy of the notice of privacy practices. The law does not require patients to sign this. If a patient refuses to sign, it does not prevent a health care provider from using or disclosing information in ways already permitted under HIPAA.
The Final Rule modifies and expands the statements that covered entities must include in the Notice of Privacy Practices, the HIPAA-mandated notice that apprises patients of their rights with regard to protected health information (PHI) and the limits imposed upon a covered entity's uses and disclosures of PHI.
Write a document giving permission to a doctor or hospital to access your medical history and records created by another doctor or treatment facility. Doctors cannot access your medical history without your written consent. Type or print your date of birth, Social Security number, and maiden name if you have one.
You are the patient or the parent or guardian of the patient whose records are being requested. If you are a caregiver or advocate who has obtained written permission from the patient.
Suggested clip About the Authorization To Release Health Information Form YouTubeStart of suggested clipEnd of suggested clip About the Authorization To Release Health Information Form
An authorization is a detailed document that gives covered entities permission to use protected health information for specified purposes, which are generally other than treatment, payment, or health care operations, or to disclose protected health information to a third party specified by the individual.
Release of information (ROI) in healthcare is critical to the quality of the continuity of care provided to the patient. It also plays an important role in billing, reporting, research, and other functions. Many laws and regulations govern how, when, what, and to whom protected health information (PHI) is released.
What is a Medical Records Release? A Medical Records Release Form (also known as a Medical Information Release Form) is a form used to request that a health care provider (physician, dentist, hospital, chiropractor, psychiatrist, etc.)

Ready to try pdfFiller's? E Signature Medical Records Release Form Gratuito

Upload a document and create your digital autograph now.
Upload your document
Decoration