HIPAA Fax Cover Sheet

FAX

Date: March 6, 2050

TO: Dr. Samantha Jones

RE: Transmitting Patient Medical Records

Fax No.: 123-456-7890

FROM: [YOUR NAME]

Company: [YOUR COMPANY NAME]

Phone: [YOUR COMPANY NUMBER]

Email: [YOUR COMPANY EMAIL]

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,