In this case, it is not a matter of what is most OFTEN included, but rather what MUST be included. Releases can be concluded to not be compliant, if not made correctly, potentially causing problems for patients and medical providers. While you will want to ask a lawyer about the specifics of your HIPAA Release Form, you'll want to include at least the following, The name of the person or entity allowed to disclose medical information The name of the person or medical group who may receive the information A specific description of the information to be (or not to be) shared The reason the information it to be shared, or simply the statement â€œat the request of the individual' The dates the authorization is valid Statements about the patient's right to revoke the authorization Signatures and date of signing More detailed information can also be included such as specific names of those allowed to receive medical information and exact details on what can be disclosed.