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Medical Inquiry Form

Thank you for your information Please fillup the following form.
Salutation
Your Name
Address, City, State, Zip
Phone Number
Fax
E-Mail Address	A value is required.Invalid format.
What is the medical specialty of your practice?
How many physicians will dictate?
What types of documents will be dictated for medical transcription?
Other
What would be your average number of lines/documents of medical transcription generated per day?
How soon do you need transcription service?
Immediately	Within Two To Four Months
Within Two To Four Months	Long Range
What is your required turnaround time (TAT) for your transcribed reports (transcription)? Irrespective of the TAT you choose, you can convert, at any time, any dictation into a STAT dictation which will be transcribed and sent to you within hours. Transcriptionstar's TAT is verifiable and part of our Transcription Service Level Agreement.
Less than a day	Next Day
1 to 2 Days	1 to 3 Days
How are you presently handling your transcription service needs?
In-house	Home Workers
Handwritten	Speech Recognition
EMR	Other
Outsourced / Contracted out
Additional information