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Authorization for Release of Records & Protected Health Information

San Mateo Superior Court · Adoption

This form was updated 13 days ago — make sure you're using the latest version.

Last updated July 19, 2026

This form allows a person to give permission for their medical records and health information to be shared with their lawyer, the court, or other parties involved in a legal case. Someone involved in a lawsuit, family court matter, or other legal proceeding in San Mateo Superior Court would use this form when they need their doctor's records or health information provided as evidence or for their attorney to review.

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