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By Direction of the President:
Signature on File
__________________________________________
Rowan SOM Chief Compliance and Privacy Officer
Signature on File
_________________________________________
RowanSOM Chief Information Officer
ATTACHMENT 1
CONFIDENTIAL FAX COVER SHEET
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"Confidential Protected Health and Other Information Enclosed"
Protected Health Information is personal and sensitive information related to a person's health care. The other protected information may include information protected by State or Federal regulations and University policy. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Re-disclosure without additional patient consent or as permitted by law is prohibited. Unauthorized re-disclosure or failure to maintain confidentiality could subject you to penalties described in federal and state law.
IMPORTANT WARNING: This message is intended for the use of the person or entity to which it is addressed and may contain information that is privileged and confidential, the disclosure of which is governed by applicable law. If the reader of this message is not the intended recipient, or the employee or agent responsible to deliver it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this information is STRICTLY PROHIBITED. If you have received this message in error, please notify the sender immediately and arrange for the return or destruction of these documents.
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