Includes a confidentiality notice sized for clinical fax transmissions. Use it for referrals, records requests, prior authorizations, or anything else that needs to reach a provider's fax line.
Is this HIPAA compliant?
A cover sheet alone does not make a transmission HIPAA compliant. The sheet includes a standard confidentiality notice, but compliance depends on your policies, the content you are sending, and who receives it. Consult your privacy officer for fax transmission requirements.
Why does the cover sheet include a confidentiality notice?
It is standard practice to include a notice alerting the recipient that the contents are confidential and that misdirected transmissions should be returned or destroyed. It is not a legal guarantee, but it is expected in clinical settings.
Can I use this to send records to a patient?
Yes. Fill in the patient or their authorized representative as the recipient, note the record type in the subject line, and include the total page count.