Remember to add a fax confidentiality statement on your fax coversheet. This emphasizes that the receiver should protect the documents.The information contained in this facsimile transmission is privileged and confidential and is intended only for the use of the recipient listed above. Get free HIPAA-compliant cover sheet templates here. These templates warn recipients of sensitive content and have the disclaimers needed for HIPAA compliance. There is no official HIPAA cover sheet but the cover sheet should contain the following information to be considered HIPAA compliant. Confidentiality statement: Position the confidentiality statement near the bottom of the cover sheet or in a footer. The fax cover sheet must include the following elements: 1. A cover sheet doesn't have to be fancy. Here are some downloadable templates.