At Speedy Template, You can download Medical Hipaa Fax Cover Sheet . There are a few ways to find the forms or templates you need. You can choose forms in your state, use search feature to find the related forms. At the end of each page, there is "Download" button for the forms you are looking form if the forms don't display properly on the page, the Word or Excel or PDF files should give you a better reivew of the page.
FACSIMILE COVER LETTER
[sending facility name]
[address]
[city, state, zip code]
[telephone number]
[facsimile number]
DATE: _______________ TIME:____________ NO. OF PAGES: ________
TO: __________________________________________________________(name of authorized receiver)