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Sample HIPAA Disclaimer If you have received this information in error, any review dissemination, distribution, or copying of this information is strictly prohibited. If you have received this transmission in error, please contact the sender to arrange for the destruction or return of the information.

Configure Fax Settings in User Templates | RingCentral Log in as Administrator to the RingCentral online account . In the Admin Portal interface, go to. ... Click the. ... Tick. ... Edit the information that to be displayed on the fax cover page. Click. ... You can also set the phone number and fax number displayed on the faxes sent.

An Example of a HIPAA Fax Disclaimer This transmission is intended for the exclusive use of the individual or entity to whom it is addressed and may contain information that is proprietary, privileged, confidential, and/or exempt from disclosure under applicable law.

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.

What should I include on the fax cover page? Information about the sender: Name, Title, Fax Number, Phone Number. Information about the recipient: Name, Title, Fax Number, Phone Number. Information about the sender's company: Logo, Address, Website, Email Address, Phone Number.

Make sure the confidential statement is visible on the cover sheet. Double-check the recipient's contact information to ensure it is correct. Create a unique password for each fax transmission and share it only with the intended recipient. Use encryption when sending sensitive documents via fax.

Make sure it contains the following: Sender's name and contact information. ... Sender's company name and logo. ... Date and time of fax transmission. ... Total number of faxed pages. ... Recipient's name and contact information. ... Confidentiality notice. ... Summary or description. ... Relevant notes.

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.