Free HIPAA-Compliant Fax Cover Sheet Template. Download a free hipaa fax cover sheet and send it directly from your iPhone with Send Fax Pro.
A HIPAA fax cover sheet includes the required confidentiality notice for faxing Protected Health Information (PHI). Use it whenever you fax medical records, lab results, insurance claims, or any document containing patient data.
Key fields include: Date & Time, Recipient Name & Department, Recipient Fax Number, Sender Name & Organization, Sender Phone & Fax Number, Total Number of Pages, Subject / Reference, Confidentiality Notice.