Description
Choices
Dictation Mode
Toll Free
Hand-Held
Other Systems
Area of Discipline
Clinics
Physicians
 
(specify below)
Hospitals
  (specify report names below)
Note Types
Office Notes
Hospital Summaries
Letters
Others
Special Formatting
Standard Format
Same Format for All
Multiple Formats
Custom Tagging/Coding
Speed of Dictation
Less than 60 Words per Minute
60-90 Words per Minute
90-120 Words per Minute
More than 120 Words per Minute
Demographic Data
Spell Name & Address in Dictation
Fax Legible Schedules
List from PM Software
Normal Turnaround
1 to 4 Days
1 to 3 Days
1 to 2 Days
Next Day
Same Day      Hrs (Please Enter Hours for Same Day Turnaround)
Quality of Dictation
Good
Average
Poor
Difficult
File Delivery Format
Each Day's Work in Batch Files by Doctor
Every Patient's Note in Separate File
Every Patient's Note in a Separate Continuous File
 

How soon do you need this service? Immediately within 1 month Within 2-4 Months Long Range
How many providers in your group practice/clinic/hospital will be utilizing our transcription service?
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Quality
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Turnaround Time
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Name
Address
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