Direct free access to PDF of HIPAA release. Free immediate download of medical relasese form PDF.This Texas HIPAA release form provides patients with access to their personal health records. The HIPAA form also allow healthcare providers to share records. Assistance provider number (do not use NPI) of the billing provider. Form 3052 is completed for initial referrals for PHC and CAS, and for referrals for people whose initial medical need for services was temporary. How do I fill this out?