Form (All the fields are required for a correct quote, fields with * are mandatory)
Salutation
*
Your Name
*
Contact Person
*
Practice
*
Address
*
City, State, Zip
*
Phone
*
Fax
*
E-Mail
*
What is the medical specialty of your practice?
*
How many physicians will dictate?
*
What types of documents will be dictated for medical transcription?

What would be your average number of lines/documents of medical transcription generated per day?
*
What is your current approximate spending per year for medical transcription services? [Optional]
What is the turn-around time you expect for the delivery of medical transcriptions from us?
*
What is your preferred method of dictation?
*
If digital hand-held recorders -
Do you already have one? If so, please specify Make and Model.
If not, do you want us to supply one along with software?
How would you like the medical transcription reports delivered?
How soon you would like to be setup to begin our medical transcription services?
How would you like us to quote?
*
Message :

 
 
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