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. You have a right to ask for communications about your health and treatment to be confidential. Use short, descriptive labels to convey the information. The information contained in this facsimile transmission is privileged and confidential and is intended only for the use of the recipient listed above. A fax cover sheet includes a 'Confidential' notice, indicating that the fax is meant solely for the designated recipient. File with Clerk of Superior Court. Social Security Numbers should appear on this form only and should be omitted from other court forms. Page 123 of 5 150 S. 12th St., Phoenix, AZ 85034 • Phone: 602-495-5797 • Fax: 602-534-1290.