Separate Fax Notice For Free

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.

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.

An example of a fax disclaimer statement: This facsimile transmission contains information, which is confidential and/or privileged. This information is intended for use only by the addressee indicated above.

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.

HIPAA Fax Disclaimer Examples This document is intended for [NAME] only. If you are not the intended recipient, you are hereby notified that any disclosure or distribution of this information is in violation of HIPAA confidentiality and prohibited.

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.