D & P Medical Transcription

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Describe your medical transcription needs by completing the form below.

1	For what type of medical practice are you interested in transcription services?

              Primary care (please specify):
             Specialty (please specify):
            Clinic
            Hospital
            Physical therapy/chiropractic
              Psychologist practice
            Dental practice
              Legal or general business transcription :

Other (please specify):

2	What is your preferred dictation method for your medical transcription service?

            Telephone dictation (toll-free)
             Handheld digital recorders
             Cassette tapes
            Other (please specify):

3	How many practitioners/physicians will need medical transcription?

            1-2
            3-5
            6-10
            11-25
            25+

4	What type of documents will be dictated for medical transcription? (check all that apply)

            Consultations
            Progress/SOAP notes
            Radiology reports
            Referral letters
            Hospital reports
            Phone messages

5	Approximately what is the average number of lines generated daily, defined as 65 characters per line?

            0-100
            100-500
            500-1,000
            1,000-2,000
            2,000+
            Not sure

6	When will you need this medical transcription service?

            ASAP
            In one month
            In two months
            More than two months

7	What is the five digit ZIP code for your office location?

What is your e-mail address?

Note: Please describe any additional requirements you may have regarding this medical transcription services request. Complete form and email to kimberly@dpmedicaltranscription.9f.com