Patient Information Fax Cover Letter

To: Jacksonville Medical Hospital

Location: Jacksonville, FL 32258

From: [YOUR NAME]

Company: [YOUR COMPANY NAME]

Email: [YOUR EMAIL]

Date: May 2, 2050

Fax number: (555) 765-4321

Number of Pages:
5 (including this cover letter)

Confidentiality Statement:
The information contained in this facsimile message is confidential and intended only for the use of the individual or entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this facsimile in error, please notify the sender immediately and destroy this message.

Fax Contents:

Patient Demographics Form
Medical History
Current Treatment Plan
Recent Test Results
Medication List

Fax Purpose:
The purpose of this fax is to transmit essential patient information for John Smith as part of his ongoing care and treatment at your facility.

Additional Notes:
Please update John Smith's medical records with the enclosed documents and inform his attending physician.

Follow-up actions:
Kindly confirm receipt of this fax and notify us if any additional information or actions are needed.

Enclosures: