How do you maintain confidentiality when faxing client information?

When sending a fax, include a cover sheet indicating the date and time sent; the recipient's name and fax number; and the sender's name, organization and phone number. The fax cover sheet should NEVER include a patient's name or any other PHI. 2. Include a privacy statement in the fax cover sheet.

US Legal Forms
Facsimile Cover Sheet

Fax Cover Sheet With Confidentiality Statement In Hillsborough

Category:

Letters - Nonlegal - Fax Cover Sheets

State:

Multi-State

County:

Hillsborough

Control #:

US-0021LTR

Format:

Instant download

Description

This form is a sample letter in Word format covering the subject matter of the title of the form.

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FAQ

A fax cover sheet typically has basic contact information: who the fax is going to, who the fax is from, the subject matter, how many pages are included, company name (address is optional), a telephone number, and a check box to mark whether it's urgent or needs a reply.

How to Fill Out a Fax Cover Sheet Step 1: Start with Your Contact Information. Step 2: Include the Recipient's Contact Information. Step 3: Add the Date and Time of Transmission. Step 4: Enter the Recipient's Fax Number. Step 5: Indicate the Number of Pages Attached. Step 6: Provide a Subject or Purpose for the Fax.

The confidentiality notice should always appear on the fax's cover sheet, along with a notice of the intended recipients, their contact information, and the contact information of the sender. It is highly recommended that the word “confidential” appear prominently (in large type) on the cover page.

Although the content of a narrative on a fax cover sheet is optional, it does help to use a few buzz words, and always make it easy for someone to contact you if they received the fax incorrectly. First of all, do not use the patient's name or other PHI in the subject line on the fax cover sheet.

A HIPAA fax cover sheet disclaimer is a message addressed to the fax recipient, that states that the faxed information is confidential. The disclaimer also should state that the transmission may contain protected health information.

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.

Some General Rules for HIPAA-Compliant Faxing Verify the Recipient's Fax Number. Use Cover Sheets. Ensure Recipient Availability. Minimum Necessary Standard. Documentation. Avoid Using Non-Secure Fax Machines. Avoid Unconfirmed Transmission and Faxing to Unverified Recipients.

A HIPAA compliant fax cover sheet should include sender and recipient details, date and time, a confidentiality statement, privacy notice, subject, page count, and optional disclaimers.

When sending a fax, include a cover sheet indicating the date and time sent; the recipient's name and fax number; and the sender's name, organization and phone number. The fax cover sheet should NEVER include a patient's name or any other PHI. 2. Include a privacy statement in the fax cover sheet.

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Confidentiality statement: Position the confidentiality statement near the bottom of the cover sheet or in a footer. Place this fax cover sheet confidentiality statement in a prominent place.For example, you can put it near the bottom of the cover sheet or in a footer. This facsimile transmission is privileged and contains confidential information. Intended only for the person(s) named herein. Use short, descriptive labels to convey the information. Confidential fax disclaimer - Confidential Patient Intake Form - Kathryn Hodgson Massage Therapy. The information contained in this facsimile transmission is privileged and confidential and is intended only for the use of the recipient listed above. These blank fax cover sheets and templates are available free for your use. Each is available as a Microsoft Word, PDF or Apple Pages template.

Fax Cover Sheet With Confidentiality Statement In Hillsborough

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How do you maintain confidentiality when faxing client information?

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