industry cover sheetmental health

Mental Health Fax Cover Sheet

Mental health records have enhanced privacy protections under HIPAA and 42 CFR Part 2 — this cover sheet includes the required notices.

Cover Sheet Preview

Mental health fax cover sheet with enhanced confidentiality notice
To
From
Date
Re:
Client Name
DOB
Pages
Practice
Fax
Confidentiality Notice
42 CFR Part 2 Notice

Fields Included

To
From
Date
Re:
Client Name
DOB
Pages
Practice
Fax
Confidentiality Notice
42 CFR Part 2 Notice

When to Use This Cover Sheet

Referral letters
Treatment summaries
Insurance authorizations
Coordination of care
Court-ordered evaluations

How to Use with TigerFax

  1. 1

    Open TigerFax and compose a new fax

    Scan or upload your document as usual.

  2. 2

    Tap 'Add Cover Page'

    Select the Mental Health Fax Cover Sheet from TigerFax's built-in template library. Fill in the required fields directly in the app.

  3. 3

    Send your fax

    The cover page is automatically prepended to your fax. The recipient receives it as the first page.

Compliance note

This cover sheet includes HIPAA-required confidentiality language. TigerFax transmits all faxes over encrypted connections to support HIPAA compliance.

Use TigerFax's Built-In Cover Pages

Instead of printing and scanning a cover sheet, TigerFax adds it digitally — saving time and ensuring a clean, professional result every time.

Free to start · iOS only · No fax machine needed

FAQ: Mental Health Fax Cover Sheet

The Mental Health Fax Cover Sheet includes the following fields: To, From, Date, Re:, Client Name, DOB, Pages, Practice, Fax, Confidentiality Notice, 42 CFR Part 2 Notice. These cover the essential information needed for professional fax transmission.

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TigerFax

Use TigerFax's Mental Health Cover Sheet

Built-in cover pages · Free to start · iOS only

Download on the App Store