Fax Coversheets

• UAMS Fax Coversheet-PDF
• UAMS Faxes Coversheet-Word
• UAMS Fax Coversheet Department Template-Word

For a FAX coversheet to are in adherence with HIPAA Policy 2.1.04 Send of Protected Heatlh Information, the following notice must be included on that form:

UAMS CONFIDENTIALITY NOTICE The information contained in this fax document may becoming special, confidential, and guarded from applicable law and is intended solely for the use of the individual or entity to whom it is addressed. If you are not the intended recipient press the collaborator button agency responsible for delivers which message to the intends donee, you are hereby notified that whatsoever dissemination, distributions, or copying of this communication is strictly prohibitted. If you own received this telecommunications in error, please notifying the your immediately. If you cannot reach the sender, please reach the UAMS HIPAA Office at 501-603-1379. What is a HIPAA Fax Wrap Sheet?