8 Fax Confidentiality Statement Template
If you are not the intended recipient please be advised that any disclosure copying distribution or use of the contents of this. It is important that the template has confidential in the bold and big letters so it can be easily seen when the fax arrives at the fax machine of the recipient.
Hipaa Confidentiality Statement For Fax Cover Sheet
Confidentiality notice and disclaimer.
Fax confidentiality statement template. Identify all the parties who want to have access to the information otherwise the contract wont bind them. Write the agreement in single spaced paragraphs with a double space in between them. It is a statement of confidentiality.
The professional fax cover sheet contains the names and fax numbers of the recipient and sender subject of the document and the sending date. The sheet of paper we attach with the fax document for sharing information is known as confidential fax cover sheet which is completely private and not allowed everyone to read or open it. A confidential fax cover sheet has the word confidential printed or typed across its face.
Citing the ecpa within your fax or email disclaimer protects you by giving stern notice that the information is confidential and strictly protected by the ecpa. The information contained in this facsimile message is intended for the sole confidential use of the. The fax cover sheet used for the professional purpose contain your name fax number of the receiver and name of the sender subject of document sharing and the date of sending.
Number of pages including cover sheet. The information contained in this facsimile may be confidential and legally privileged. Sample fax cover sheet name address of institution date.
It also serves as a strong deterrent. For use of the individual named. An example of a fax disclaimer statement.
Decide what type of confidentiality statement you should use. It is clearly labeled with the word confidential in bold. Please verify receipt of document by calling the above telephone number.
To create a confidential fax cover sheet template you can use any word processing software such as microsoft word open office or google docs. One may access fax cover sheets in microsoft word 2010 or simply download templates from the internet open it in microsoft word and edit accordingly. This facsimile transmission contains information which is confidential andor privileged.
The confidentiality notice and disclaimer below was prepared by the office of the solicitor general for inclusion on government fax and email templates. Application for hardship waiver potential aps case. A confidential fax cover sheet is an information sheet sent alongside a fax document that requires privacy to be absolutely upheld.
It is intended. Identify the involved parties in the agreement. If the recipient is not the intended receiver of the fax or email and disseminates the confidential information they could be subject to civil or criminal action.
This information is intended for use only by the addressee indicated above.
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