This form is a sample letter in Word format covering the subject matter of the title of the form.
Fax Cover Sheet With Confidentiality Statement In Suffolk
Category:
State:
Multi-State
County:
Suffolk
Control #:
US-0021LTR
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
A HIPAA compliant fax cover sheet should include sender and recipient details, date and time, a confidentiality statement, privacy notice, subject, page count, and optional disclaimers.
The confidentiality notice should always appear on the fax's cover sheet, along with a notice of the intended recipients, their contact information, and the contact information of the sender. It is highly recommended that the word “confidential” appear prominently (in large type) on the cover page.
The information is intended only for the use of the individual(s) or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or taking of any action in reliance on the contents of this facsimile information is strictly prohibited.
Steps to safer faxing: Always use a cover letter. To prevent numbers from being mis-dialed, use saved speed-dial numbers for recipients you fax frequently. For any new recipient, verify the number with a test email before sending PHI. Have policies in place for what to do if a fax is sent to the wrong number.
Create a Fax Cover Sheet for Confidential Documents in 7 Steps Add a Header With a Clear Subject and Mark It as Confidential. Add the Intended Recipient's Information To Ensure It Reaches the Right Person. Include the Date and Time of the Fax Transmission. Include a Brief Message With the Highlights of the Message.
The destination fax needs to have the F-code function. When sending a confidential fax, you need to check the recipient's Confidential User Box number and the password for confidential fax reception.
What confidentiality precautions should be taken when sending a fax? Get patient permission before faxing records. Never fax financial information. Contact the receiver before and after sending a fax.
The best practice for filling out a fax cover sheet includes, complete sender and recipient information, detailed fax information, confidentiality notice, clear and concise communication, and a consistent format.
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.
