Confidentiality statement: Position the confidentiality statement near the bottom of the cover sheet or in a footer. Fax Cover Sheet –.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. The following wording must be used at the confidentiality clause on all fax cover sheets: This information is confidential. Complete ONE (1) Medicare Fax. Cover Sheet for each electronic claim for which documentation is being submitted. - Click "Provider" for documents included with a provider enrollment application. A fax cover sheet includes a 'Confidential' notice, indicating that the fax is meant solely for the designated recipient. Please continue to attach documentation to the.