Free Fax Cover Sheets: Doctor Office Fax Cover Sheet
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|Information Released |
| |
|Message |
| |
|From |
|Name: | |
|Company: | |
|Phone: | |
|Fax: | |
|To |
|Name: | |
|Company: | |
|Phone: | |
|Fax: | |
|Date | |
|Page 1 of | |
|Reason | |
| | |
| | |Please Respond |
| | |
| | |Urgent |
CONFIDENTIALITY NOTICE: This fax cover sheet and the documents accompanying this fax transmission may contain confidential
information belonging to the sender which is legally privileged. The information is intended only for the use of the individual or entity named
above as recipient. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any
action in reliance on or regarding the contents of this faxed information is strictly prohibited. If you have received this fax in error, please
notify us immediately by telephone to arrange for return of the original documents to us.
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