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Basic Fax Cover Sheet With Confidentiality Statement
Category:
State:
California
Control #:
CA-JV-520
Format:
PDF
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Description
How to fill out California Facsimile Filing Cover Sheet - Juvenile?
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FAQ
Best practices dictate that cover sheets should be used when sending faxes that contain PHI. If you aren't sure if a fax contains sensitive patient information or identifiers, it's best to use a cover sheet anyway.
How to Send a Fax OnlineGo to efax.com/login. Log in to your eFax MyAccount and select Send Faxes.Enter recipients' addresses or add them from your contact list.Your recipient receives your document and cover letter exactly as they would a normal fax it's as easy as email!
Notify the fax recipient that you are about to send a fax transmission containing confidential patient information, so the recipient will know that a fax is on its way. Print out a delivery confirmation report for the message you have faxed.
When Faxing Informationthe sender's identification (with call-back particulars);the intended recipient;the total number of pages being sent;a confidentiality clause saying that the faxed material is confidential, is intended only for the stated recipient, and is not to be disclosed to or used by anyone else; and.More items...?
What Should a Fax Cover Sheet Include?Date/Time.Sender's company info company name, address, phone number, and fax number.Sender's contact information name, email address, and direct phone number.Recipient's name and fax number.Number of pages.A short message to the recipient (optional)More items...?