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Complete information about medical provider from whom medical records are requested. INSTRUCTIONS: Please complete this Authorization in its entirety.Standard Authorization Form. To Complete Form go to Page 4 of 5. Authorization for release of a deceased patient's records. Use the LiveWell app or website. Medical record copies will be sent to your Riverside MyChart account. Save; Upload the completed forms via the link at the bottom of this page. Authorization to Release Information. The form should be opened and completed in Adobe Acrobat Reader (DC) for the best result.