TX HHS Form 1131. Individually Identifiable Health Information Fax Transmittal

The TX HHS Form 1131: Individually Identifiable Health Information Fax Transmittal is a confidential document designed to facilitate the secure transmission of sensitive health information via fax. This form helps solve the problem of securely sharing protected health information between healthcare providers, government agencies, and other authorized entities.

This form requires specific information from both the sender and recipient, including names, fax numbers, telephone numbers, and agency or company details. The document emphasizes the importance of confidentiality, instructing recipients to contact the sender immediately if they receive the message in error. The form also includes a "Rees Number of Pages" field, which indicates the total number of pages, including the cover sheet.

The TX HHS Form 1131 is typically used in situations where urgent or sensitive health information needs to be transmitted securely between authorized parties. Key features of this form include:

• Confidentiality instructions for recipients
• Required sender and recipient information
• Emergency contact procedures
• Total page count, including cover sheet