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MC 315Mandatory

Authorization for Release of Medical Information

Michigan · Michigan State Court Administrative Office · Effective June 1, 2017

This form is an agreement that allows a person to give permission for a doctor, hospital, or other record keeper to share medical details. It asks the person signing to authorize the release of specific health information to another party involved in a case.

The court describes it as: Court rule / statute: 45 CFR 164.508, MCL 333.5131(5)(d), MCR 2.314, MCR 2.506(l)(1)(b)

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

Motions

Stage: Motions

This form is used when medical information about a person is needed for use in a lawsuit. The authorization is valid for 60 days and is intended to make the medical records available to the other parties in the case.

Either party may file.

Common questions

Who signs this form?
The patient signs this form to give permission for the release of their medical information.
How long is this authorization good for?
This authorization is valid for 60 days.
What does the custodian of records do?
The custodian of records fills out a certificate confirming they received the authorization and attached a true and complete copy of the information described.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect June 1, 2017.

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