Is a cover sheet required for every fax containing PHI?

HIPAA permits faxing PHI for treatment and other allowed purposes if you use reasonable safeguards. While HIPAA doesn’t explicitly mandate a “cover sheet,” using one is widely recognized as a reasonable safeguard and is recommended by compliance programs to reduce risk.

Can I customize the confidentiality notice?

Yes. You can tailor the wording, but it must clearly identify PHI, name the intended recipient, forbid unauthorized disclosure, and include instructions for misdirected faxes. Have legal or compliance review any change.

Are digital cover sheets HIPAA-compliant?

Yes when generated and transmitted by a HIPAA-aligned workflow with reasonable administrative, physical, and technical safeguards. If a cloud fax provider can access ePHI, a Business Associate Agreement (BAA) is generally required.

What if PHI is faxed to the wrong number?

Contact the recipient immediately to request destruction, document the incident, and evaluate breach notification obligations. Covered entities must follow the HIPAA Breach Notification Rule timelines (e.g., up to 60 days, depending on circumstances).

HIPAA-Compliant Fax Cover Sheets: What You Need to Know + Free Template

Ensure secure and compliant transmission of protected health information with our guide to HIPAA-compliant fax cover sheets, complete with templates and a compliance checklist.