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I authorize the release of my complete health record (including records relating to mental healthcare, communicable diseases, HIV or AIDS, and treatment of. This information describes how medical information about you may be used and disclosed and how you can get access to this information.Your authorization allows. You do not need to return this page. Here's a quick guide to sharing your document once it has been completed and satisfies the legal requirements for your state (if applicable). Authorization to Use and Disclose. Direct access to PDF of HIPAA release. Free immediate download of PDF. The HIPAA law sets the standard for a valid authorization to release information. You can even fax us your forms or drop them off prior to your appointment to speed up your first visit.