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f. Date of the transmission; <br /> g. The number of pages in the transmission; and <br /> h. An approved notice and disclaimer. <br /> 3. At the bottom of the facsimile cover sheet, the following notice and disclaimer must <br /> appear in at least 10 point font: <br /> Confidentiality Notice: This facsimile transmission is confidential and is intended <br /> only for the review of the party to whom it is addressed. It may contain <br /> proprietary and/or privileged information protected by law. If you are not the <br /> intended recipient, you may not use, copy or distribute this facsimile message or <br /> its attachments. If you have received this transmission in error, please <br /> immediately telephone the sender above to arrange for its return. <br /> Images and Videos That May Contain PHI <br /> 1. Staff members are strictly prohibited from capturing any images or videos that could <br /> potentially identify a patient PHI while on duty without the express permission of a <br /> supervisor. Staff members may carry a personal electronic device (such as a cell phone) <br /> that is capable of capturing images; but, staff members must adhere to our HIPAA <br /> Policies and Procedures when using the device and the device may never be used to <br /> capture PHI (unless expressly permitted by a supervisor). No other personal electronic <br /> devices that function as a camera and/or video recorder shall be carried by staff <br /> members while engaged in any work activities. <br /> 2. Staff members may only capture images or video while on-duty with a company-issued <br /> device and only for legitimate business-related purposes. Staff members must be <br /> authorized by North State Medical Transport to capture images or video while on duty. <br /> 3. Images or videos taken with Company Equipment may only be disseminated in <br /> accordance with North State Medical Transport's HIPAA Policies and Procedures and all <br /> such images and videos are the sole property of North State Medical Transport. <br /> 4. Any images or videos that might identify a patient may not be posted on the internet <br /> without the express approval of North State Medical Transport. <br />