---
title: Genetic Testing Results Release Form Template - Paperform
description: HIPAA-compliant genetic testing results release form for healthcare providers. Authorize transfer of hereditary condition reports, family history, and genetic counseling notes with privacy consent options.
url: "https://paperform.co/templates/genetic-testing-results-release-form"
type: static
generatedAt: "2026-03-28T00:43:59.823Z"
---

[← Back to free form templates](/templates/)    ![Genetic Testing Results Release Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/genetic-testing-results-release-form.png)
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### Simplify Genetic Testing Records Requests with Paperform

Managing genetic testing results and hereditary health information requires exceptional care, precision, and compliance with privacy regulations. Whether you're a genetics clinic, hospital genetic counseling department, or specialized testing laboratory, our **Genetic Testing Results Release Form** template streamlines the complex process of authorizing the release and transfer of sensitive genetic information.

#### Why Use This Genetic Records Release Template?

Genetic testing results are among the most sensitive medical records, containing information that can impact not just the patient but their entire family. This professional form template helps healthcare providers:

 - **Ensure regulatory compliance** with HIPAA, GINA (Genetic Information Nondiscrimination Act), and state genetic privacy laws
 - **Obtain clear, documented consent** for releasing hereditary condition reports and genetic counseling notes
 - **Capture detailed recipient information** to ensure records reach the right healthcare providers
 - **Protect patient privacy** while facilitating appropriate medical care coordination
 - **Create an audit trail** for all genetic information disclosures

#### Designed for Healthcare Professionals

This template is specifically crafted for genetic counselors, medical geneticists, laboratory directors, and healthcare administrators who manage genetic testing results. The form walks patients through authorization decisions with clear language, helping them understand exactly what information will be released and why.

The structured format ensures you collect all necessary information including:

 - Patient demographics and contact information
 - Specific genetic tests and results to be released
 - Hereditary condition reports and pedigree documentation
 - Genetic counseling session notes
 - Recipient healthcare provider details
 - Purpose of disclosure and timeframe limitations
 - Comprehensive privacy consent acknowledgments

#### Paperform Makes Medical Records Management Professional

With Paperform's document-style editor, you can customize this template to match your facility's branding and specific protocols. Add your clinic's logo, adjust consent language to meet state requirements, or include additional fields for specialized genetic testing programs—all without coding.

**Conditional logic** ensures patients only see relevant questions based on their selections. For example, if they're requesting family history information, additional consent fields appear explaining implications for relatives.

**Digital signatures** through Papersign (papersign.com) transform this form into a legally binding authorization document. Patients can review and sign electronically, creating a secure, timestamped record that meets medical-legal standards.

#### Seamless Integration with Healthcare Workflows

Once a patient submits a release request, **Stepper** (stepper.io) can automatically route the authorization through your facility's workflow:

 - Notify the medical records department or lab to prepare documents
 - Create a task in your EHR or practice management system
 - Send confirmation emails to patients with expected processing times
 - Alert the genetic counselor if sensitive results require pre-release counseling
 - Track fulfillment timelines to ensure compliance with regulatory deadlines

These automations eliminate manual handoffs and ensure every request is processed consistently and promptly.

#### Built for Genetics Clinics and Testing Laboratories

Whether you're a hospital-based genetics program, independent genetic counseling practice, commercial genetic testing laboratory, or specialty clinic focused on hereditary conditions, this template provides the professional foundation you need.

Genetic counselors appreciate the clear separation between different types of genetic information (raw test results vs. interpreted reports vs. counseling notes), allowing patients to make informed choices about what to release. Laboratory directors benefit from the detailed specification of which tests and timeframes are authorized, reducing ambiguity and potential errors.

#### Trusted by Healthcare Providers

Paperform is trusted by over 500,000 teams worldwide and maintains **SOC 2 Type II compliance** with robust security controls appropriate for handling sensitive health information requests. While Paperform itself is not HIPAA compliant, it serves as an excellent front-end solution for collecting authorization requests that are then processed through your HIPAA-compliant medical records systems.

The platform's **data residency controls** allow healthcare organizations to specify where form data is stored, and **role-based permissions** ensure only authorized staff can access genetic testing release requests.

#### Get Started in Minutes

Simply customize this template with your facility's information, embed it on your patient portal or website, or share it directly via link. Patients can complete the form on any device, and submissions instantly appear in your Paperform account for processing.

With Paperform's genetic testing results release form, you'll spend less time managing paperwork and more time providing the compassionate, specialized care that genetics patients need. Create a professional, compliant experience that protects patient privacy while facilitating appropriate medical care coordination.

**Start streamlining your genetic records release process today** with this comprehensive, healthcare-focused template built specifically for the unique requirements of genetic testing information.
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