diff --git a/app/controllers/medical_releases_controller.rb b/app/controllers/medical_releases_controller.rb
index 9c48ce0..46a19c8 100644
--- a/app/controllers/medical_releases_controller.rb
+++ b/app/controllers/medical_releases_controller.rb
@@ -2,7 +2,7 @@ class MedicalReleasesController < ApplicationController
   include ProjectContext, MedicalReleaseContext
 
   before_action :set_project, only: [:index]
-  before_action :set_medical_release, only: [:destroy]
+  before_action :set_medical_release, only: [:destroy, :review, :approve]
 
   include ProjectLayout
 
@@ -18,6 +18,19 @@ class MedicalReleasesController < ApplicationController
     end
   end
 
+  def review
+    @project = @medical_release.project
+  end
+
+  def approve
+    @project = @medical_release.project
+
+    @medical_release.approve_by(current_user)
+    if @medical_release.save
+      redirect_to [@project, :medical_releases], notice: t('.release_approved')
+    end
+  end
+
   private
 
   def medical_releases
diff --git a/app/models/medical_release.rb b/app/models/medical_release.rb
index 5d0692d..c520d8e 100644
--- a/app/models/medical_release.rb
+++ b/app/models/medical_release.rb
@@ -100,6 +100,18 @@ class MedicalRelease < ApplicationRecord
     "#{project.name.parameterize}_#{contract_template.release_type}_#{(signed_at || created_at).strftime("%Y.%m.%d")}_#{release_number}_#{filename_suffix.parameterize}"
   end
 
+  def approve_by(user)
+    return unless approved_at.nil?
+
+    self.approved_by_user_name = user.full_name
+    self.approved_by_user_email = user.email
+    self.approved_at = DateTime.now
+  end
+
+  def approved?
+    approved_at.present?
+  end
+
   private
 
   def valid_answers
diff --git a/app/policies/medical_release_policy.rb b/app/policies/medical_release_policy.rb
index 8866337..9ce60ce 100644
--- a/app/policies/medical_release_policy.rb
+++ b/app/policies/medical_release_policy.rb
@@ -15,6 +15,14 @@ class MedicalReleasePolicy < ReleasePolicy
     user.manager? || user.account_manager?
   end
 
+  def review?
+    user.account_manager?
+  end
+
+  def approve?
+    review?
+  end
+
   def edit_photos?
     true
   end
diff --git a/app/views/medical_releases/_medical_release.html.erb b/app/views/medical_releases/_medical_release.html.erb
index 29c4b73..74cc105 100644
--- a/app/views/medical_releases/_medical_release.html.erb
+++ b/app/views/medical_releases/_medical_release.html.erb
@@ -1,5 +1,17 @@
 <tr id="<%= dom_id(medical_release) %>">
   <td data-behavior="select"><%= check_box_tag "medical_release_ids[]", medical_release.id, false %></td>
+  <td class="text-center">
+    <% if medical_release.approved? %>
+      <% if medical_release.approved_by_user_name.present? %>
+        <% tooltip_user_data = "#{medical_release.approved_by_user_name} [#{medical_release.approved_by_user_email}]" %>
+      <% else %>
+        <% tooltip_user_data = medical_release.approved_by_user_email %>
+      <% end %>
+      <i class="fa fa-check-circle fa-2x text-success"
+         data-toggle="tooltip"
+         title="<%= t '.messages.approved_tooltip', user: tooltip_user_data, timestamp: medical_release.approved_at %>"></i>
+    <% end %>
+  </td>
   <td>
     <% if medical_release.photo.attached? %>
       <%= image_tag medium_variant(medical_release.photo), class: "img-fluid" %>
@@ -37,6 +49,9 @@
         <% if policy(medical_release.tags).new? %>
           <%= link_to fa_icon("tags fw", text: "Tags"), [:new, medical_release, :acts_as_taggable_on_tag], class: "dropdown-item", remote: true %>
         <% end %>
+        <% if policy(MedicalRelease).review? %>
+          <%= link_to fa_icon("search fw", text: "Review"), review_medical_release_path(medical_release), class: "dropdown-item" %>
+        <% end %>
         <% if policy(MedicalRelease).download_single? && policy(Contract).show? && (medical_release.contract.attached? || medical_release.contract_template.present?) %>
           <%= link_to fa_icon("download fw", text: "Download"), [medical_release, :contracts, format: "pdf"], class: "dropdown-item", target: "_blank" %>
         <% end %>
diff --git a/app/views/medical_releases/index.html.erb b/app/views/medical_releases/index.html.erb
index e056d0f..abba148 100644
--- a/app/views/medical_releases/index.html.erb
+++ b/app/views/medical_releases/index.html.erb
@@ -22,6 +22,7 @@
     <thead class="thead-light">
       <tr>
         <th data-behavior="all-selectable"><%= check_box_tag "medical_release_ids[]", false, false %></th>
+        <th><%= t '.table_headers.approved'%></th>
         <th></th>
         <th><%= MedicalRelease.human_attribute_name(:person_name) %></th>
         <th><%= MedicalRelease.human_attribute_name(:contact_info) %></th>
diff --git a/app/views/medical_releases/review.html.erb b/app/views/medical_releases/review.html.erb
new file mode 100644
index 0000000..a74f39b
--- /dev/null
+++ b/app/views/medical_releases/review.html.erb
@@ -0,0 +1,16 @@
+<div class="card shadow-sm">
+  <%= card_header text: t(".heading"), close_action_path: [@project, :medical_releases] %>
+  <div class="card-body">
+    <embed class="embeded-contract-preview" type="application/pdf" src="<%= url_for [@medical_release, :contracts, format: "pdf"] %>" width="90%" height="1200" />
+
+    <%= bootstrap_form_with model: @medical_release, method: :patch, url: [:approve, @medical_release], local: true do |form| %>
+      <% form.hidden_field :approved, value: true %>
+      <div class="row align-items-center text-center mt-4">
+        <%= link_to t("shared.cancel"), [@medical_release.project, :medical_releases], class: "col-3 text-reset" %>
+        <div class="col-9">
+          <%= form.button t('.actions.approve'), id: "approve_release", class: class_string("btn btn-block btn-success btn-primary"), data: { disable_with: t("shared.disable_with") } %>
+        </div>
+      </div>
+    <% end %>
+  </div>
+</div>
\ No newline at end of file
diff --git a/config/locales/en.yml b/config/locales/en.yml
index d09ddeb..06d3c44 100644
--- a/config/locales/en.yml
+++ b/config/locales/en.yml
@@ -773,6 +773,8 @@ en:
     update:
       notice: The material release has been updated
   medical_releases:
+    approve:
+      release_approved: Medical release has been approved
     custom_validation_errors:
       question_answer_is_required: answer is required
     destroy:
@@ -785,9 +787,16 @@ en:
         notes: Notes
         signed_at: Date Signed
         tags: Tags
+        approved: Approved
     medical_release:
       actions:
         manage: Manage
+      messages:
+        approved_tooltip: Approved by %{user} on %{timestamp}
+    review:
+      actions:
+        approve: Approve
+      heading: Review Medical Release
   misc_releases:
     destroy:
       alert: The misc release has been deleted
diff --git a/config/locales/es.yml b/config/locales/es.yml
index 439e747..2c8b910 100644
--- a/config/locales/es.yml
+++ b/config/locales/es.yml
@@ -274,6 +274,8 @@ es:
         create: Create Live Stream (ES)
         update: Save Changes (ES)
       create: 'Crear %{model}'
+      medical_release:
+        update: Approve (ES)
       update: 'Actualizar %{model}'
   location_releases:
     form:
@@ -284,8 +286,20 @@ es:
       photos:
         dropzone_label: Tap to take a photo of Licensed Material (optional) (ES)
   medical_releases:
+    approve:
+      release_approved: Medical release has been approved (ES)
     custom_validation_errors:
       question_answer_is_required: answer is required (ES)
+    review:
+      actions:
+        approve: Approve (ES)
+      heading: Review Medical Release (ES)
+    index:
+      table_headers:
+        approved: Approved (ES)
+    medical_release:
+      messages:
+        approved_tooltip: ""
   public:
     appearance_releases:
       create:
diff --git a/config/routes.rb b/config/routes.rb
index d43bfb9..cc855b2 100644
--- a/config/routes.rb
+++ b/config/routes.rb
@@ -137,12 +137,20 @@ Rails.application.routes.draw do
     end
 
     RELEASES = [:acquired_media_releases, :appearance_releases, :talent_releases, :material_releases, :location_releases]
-    ALL_RELEASES = RELEASES + [:music_releases, :medical_releases, :misc_releases]
+    ALL_RELEASES = RELEASES + [:music_releases, :misc_releases]
 
     ALL_RELEASES.each do |release|
       resources release, only: [], concerns: :taggable
     end
 
+    # Customization for medical releases
+    resources :medical_releases, only: [], concerns: :taggable do
+      member do
+        get :review
+        patch :approve
+      end
+    end
+
     resources :bulk_taggings, only: [:new, :create]
 
     namespace :api do
diff --git a/db/migrate/20200707155717_add_approval_info_columns_to_medical_releases.rb b/db/migrate/20200707155717_add_approval_info_columns_to_medical_releases.rb
new file mode 100644
index 0000000..00fa2c7
--- /dev/null
+++ b/db/migrate/20200707155717_add_approval_info_columns_to_medical_releases.rb
@@ -0,0 +1,7 @@
+class AddApprovalInfoColumnsToMedicalReleases < ActiveRecord::Migration[6.0]
+  def change
+    add_column :medical_releases, :approved_by_user_name, :text
+    add_column :medical_releases, :approved_by_user_email, :text
+    add_column :medical_releases, :approved_at, :timestamp
+  end
+end
diff --git a/db/structure.sql b/db/structure.sql
index 51b4216..616c0ac 100644
--- a/db/structure.sql
+++ b/db/structure.sql
@@ -1045,7 +1045,10 @@ CREATE TABLE public.medical_releases (
     guardian_2_address_city character varying,
     guardian_2_address_state character varying,
     guardian_2_address_zip character varying,
-    guardian_2_address_country character varying
+    guardian_2_address_country character varying,
+    approved_by_user_name text,
+    approved_by_user_email text,
+    approved_at timestamp without time zone
 );
 
 
@@ -3902,6 +3905,7 @@ INSERT INTO "schema_migrations" (version) VALUES
 ('20200619134853'),
 ('20200622180507'),
 ('20200625144713'),
-('20200702152130');
+('20200702152130'),
+('20200707155717');