---
title: South Korea Medical Records Release Authorization Form Template | Paperform
description: PIPA-compliant medical records release authorization form for South Korean healthcare providers. Secure patient consent, electronic signatures, and automated workflow integration.
url: "https://paperform.co/templates/south-korea-medical-records-release-authorization"
type: static
generatedAt: "2026-03-28T00:45:13.795Z"
---

[← Back to free form templates](/templates/)    ![South Korea Medical Records Release Authorization](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/south-korea-medical-records-release-authorization.png)
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### Medical Records Release Authorization for South Korea

Managing medical records releases in South Korea requires careful attention to patient rights and compliance with the Personal Information Protection Act (PIPA) and Medical Service Act. This **South Korea Medical Records Release Authorization form template** provides healthcare providers, hospitals, clinics, and medical facilities with a professionally structured solution that respects patient privacy while streamlining the records request process.

#### Built for Korean Healthcare Compliance

South Korean healthcare regulations demand explicit patient consent before releasing medical information. This template includes all required elements under PIPA and medical privacy laws, including clear identification of the requesting party, specific records being released, purpose of disclosure, and patient acknowledgment of their rights. The form ensures your facility maintains proper documentation while giving patients full transparency and control.

#### Streamline Medical Records Requests with Paperform

Rather than managing paper forms that require manual filing and follow-up, this Paperform template digitizes the entire authorization process. Patients can complete the form online or in your facility, with conditional logic showing only relevant questions based on their selections. Healthcare administrators can route submissions directly to medical records departments, trigger confirmation emails, and maintain a searchable digital archive.

**Papersign integration** (papersign.com) allows you to collect legally binding electronic signatures from patients, creating a complete audit trail for compliance purposes. Once authorized, you can use **Stepper** (stepper.io) to automate your records fulfillment workflow—notifying the appropriate department, updating your patient management system, and tracking request status without manual handoffs.

#### Perfect for Healthcare Providers Across South Korea

This template is ideal for hospitals, specialty clinics, general practices, dental offices, mental health facilities, and any medical service provider in South Korea that handles patient records requests. Whether you're processing insurance claims, facilitating patient transfers, responding to legal requests, or supporting continuity of care, this form ensures you have proper authorization with full regulatory compliance.

With Paperform's professional design capabilities, the form maintains your facility's branding while presenting information clearly in a way that respects the seriousness of medical privacy. Built-in validation ensures all required fields are completed before submission, and automatic confirmation emails provide patients with a copy of their authorization for their records.
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