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Elements of a Successful Fax Cover Sheet Include your name and contact information. Include your fax number. State the purpose of the fax. Include the intended recipient's contact info. Date and time sent. Number of pages in the document.

The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance on the contents of this facsimile information is strictly prohibited.

The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance on the contents of this facsimile information is strictly prohibited.

Sample HIPAA Disclaimer This facsimile transmission is intended for the sole confidential use of the designated recipients, some or all of which may be protected health information as defined by the federal Health Insurance Portability & Accountability Act (HIPAA) Privacy Rule.

Tip: If you're already in Word for the web, get to the fax templates by going to File > New, and then below the template images click More on Office.com. You'll be on the Templates for Word page. In the list of categories, click Fax Covers. To print the fax cover sheet, press Ctrl+P, and wait for the Print dialog.

An example of a fax disclaimer statement: If you are not the intended recipient, please be advised that any disclosure, copying, distribution, or use of the contents of this information is strictly prohibited, and that any misdirected or improperly received information must be returned to this company immediately.

Sample HIPAA Disclaimer This facsimile transmission is intended for the sole confidential use of the designated recipients, some or all of which may be protected health information as defined by the federal Health Insurance Portability & Accountability Act (HIPAA) Privacy Rule.

It's important that the fax cover sheet declares the document as “confidential” or “for authorized eyes only.” Aside from these items, it is not recommended to include specific details in the fax cover sheet. For example, you may not include the patient's name as this violates HIPAA standards.

Elements of a Successful Fax Cover Sheet Include your name and contact information. Include your fax number. State the purpose of the fax. Include the intended recipient's contact info. Date and time sent. Number of pages in the document.

The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance on the contents of this facsimile information is strictly prohibited.

The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance on the contents of this facsimile information is strictly prohibited.

Sample HIPAA Disclaimer This facsimile transmission is intended for the sole confidential use of the designated recipients, some or all of which may be protected health information as defined by the federal Health Insurance Portability & Accountability Act (HIPAA) Privacy Rule.

Tip: If you're already in Word for the web, get to the fax templates by going to File > New, and then below the template images click More on Office.com. You'll be on the Templates for Word page. In the list of categories, click Fax Covers. To print the fax cover sheet, press Ctrl+P, and wait for the Print dialog.

An example of a fax disclaimer statement: If you are not the intended recipient, please be advised that any disclosure, copying, distribution, or use of the contents of this information is strictly prohibited, and that any misdirected or improperly received information must be returned to this company immediately.

Sample HIPAA Disclaimer This facsimile transmission is intended for the sole confidential use of the designated recipients, some or all of which may be protected health information as defined by the federal Health Insurance Portability & Accountability Act (HIPAA) Privacy Rule.

It's important that the fax cover sheet declares the document as “confidential” or “for authorized eyes only.” Aside from these items, it is not recommended to include specific details in the fax cover sheet. For example, you may not include the patient's name as this violates HIPAA standards.