Free HIPAA Fax Cover Sheet Template
HIPAA FAX COVER SHEET
FAX |
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January 19, 2050 |
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To: Dr. Tracey Gleason |
Company: [Your Company Name] |
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Company: OmegaGen |
Email: [Your Company Email] |
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Fax Number: 123-456-7890 |
Contact Number: [Your Company Number] |
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MESSAGE
I am writing to you regarding the transmission of confidential patient medical records. Per our telephone conversation, I have collated the necessary documents for your perusal.
These records contain detailed medical history, diagnosis, prescribed medication, and treatment plans. Healthcare providers rely on this information to ascertain the most efficient route of care, ensuring the well-being of their patients. I earnestly request you to study these documents meticulously and revert your thoughts before their next appointment.
As we are both bound by Health Insurance Portability and Accountability Act (HIPAA) regulations, I trust that this information will be handled securely and with the utmost confidentiality. Thank you for your attention to this matter, and appreciate your prompt response.
Sincerely,
[Your Name]
[Your Company Email]
