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Describe your medical transcription needs by completing the form below:
For what type of medical practice are you interested in transcription services?
Primary Care - (Please Specify): Specialty - (Please Specify): Clinic Hospital Physical Therapy/Chiropractic Psychology Other - (Please Specify):
What is your preferred dictation method for your medical transcription service? (Required)
Telephone Dictation (Toll-Free) Digital Handheld Recorder
How many dictators will need transcription service? (Required) 1-5 6-10 11-20 21-30 31+
What type of documents will be dictated for transcription? (Check all that apply)
Consultations Progress/SOAP notes Radiology reports Referral letters Hospital reports Phone messages Other (please specify):
Approximately what is the average number of lines generated daily, defined as 65 characters per line? (Required)
0-100 100-500 500-1,000 1,000-2,000 2,000+ Not sure
When will you need this medical transcription service? (Required)
ASAP In one month In two months More than two months Not sure
What is the five digit ZIP code for your office location? (Required) NOTE: We only serve U.S. businesses.
Please describe any additional requirements you may have regarding this medical transcription services request.
Interested in:
EMDAT Solution WebChartMD Application Quote for Both Please supply the following contact information (* Denotes required field)
Preferred Method of Contact:
