When medical records are requested, a records release must be signed by whom?

• A. The patient or guardian
• B. The physician
• C. The insurer
• D. The office manager

Answer: (A)

Releasing medical records relies on patient control over personal health information. The authorization for a records release must come from the person who holds those rights—the patient themselves—or from a legally authorized guardian or representative if the patient is a minor or unable to make decisions. This signed consent gives explicit permission for the records to be shared with a specific recipient for a stated purpose, and it protects privacy by ensuring disclosure only occurs with the patient’s or guardian’s approval. A physician, insurer, or office manager cannot sign on the patient’s behalf to authorize release; they can facilitate the process or be the recipient, but the patient’s signature (or that of a legal guardian) is required.