Request and Authorization to Release Health Information

Butte Superior Court · Criminal Forms

Verified current as of July 25, 2026

This form allows someone to ask for their medical records from a doctor or hospital and give permission for those records to be sent to the court or another person involved in a legal case. Someone involved in a court case in Butte Superior Court would use this form if they need to share their health information as evidence or to support their legal claim.