Simple Fax Cover Sheet

Simple Fax Cover Sheet

FAX

To:
Dr. Emily Thompson
Director of Patient Care
Greenfield Medical Center
123 Wellness Blvd
Greenfield, TX 75001
222 000 8888

From:
[YOUR NAME]
Clinical Coordinator
[YOUR COMPANY NAME]
[YOUR COMPANY ADDRESS]

[YOUR COMPANY NUMBER]

[YOUR COMPANY EMAIL]

Date: August 19, 2050

Re: Patient Records for Jane Doe

Pages: 7 (including cover sheet)

TO BE REVIEWED
URGENT
PLEASE RESPONSE

Message

Comments:
Please find attached the patient records for Jane Doe. The enclosed documents include her recent medical history, test results from the last visit, and updated treatment notes. Kindly review the information and contact us if there are any questions or additional details required.

Confidentiality Notice:
This fax transmission may contain confidential or privileged information intended only for the recipient(s) named above. If you are not the intended recipient, please notify the sender immediately and destroy all copies of this transmission. Unauthorized use, disclosure, or distribution of the information contained in this fax is prohibited.

Contact Information:
For any queries regarding this fax, please contact [YOUR NAME] at [YOUR COMPANY NUMBER] or [YOUR COMPANY EMAIL].

Thank you.

Sincerely,

[YOUR NAME]

[YOUR COMPANY NAME]

[YOUR COMPANY EMAIL]

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