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Patient Information FAX Cover Sheet Outpatient Direct Cardiac Catheterization Kingston General Hospital:Cardiac Services at Kingston General Hospital Fax Number 16135482407From: ___ Number of Pages
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How to fill out patient information fax cover

01
First, fill out your name and contact information in the top section of the fax cover sheet.
02
Next, write down the name and contact information of the recipient of the fax.
03
Then, include the date and a subject line indicating the purpose of the fax.
04
Fill out any additional fields such as patient name, medical record number, and reason for the fax.
05
Double check all information for accuracy before sending the fax.

Who needs patient information fax cover?

01
Healthcare providers
02
Medical facilities
03
Insurance companies
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Pharmacies
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Patient information fax cover is a form used to send confidential medical information via fax to ensure it is securely transmitted.
Healthcare providers, medical professionals, and facilities handling patient medical records are required to file patient information fax cover.
Patient information fax cover should include sender and recipient information, patient's name and identification number, date of transmission, and a statement indicating the confidential nature of the information being transmitted.
The purpose of patient information fax cover is to protect the privacy and security of patient medical information while it is being transmitted electronically.
Patient information fax cover must include patient's name, identification number, date of transmission, sender and recipient information, and a confidentiality statement.
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