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Organization Name:
Address:
Contact Name:
Position:
Phone:
Email:
Transcription
All transcription to be outsourced
Some transcription outsourced
Backlog Only
Approximate Volume:
Lines
Pages
Dictations
Per Week
Per Month
Per Year
Preferred Dictation Options:
Digital Recorder
Toll free 800 #
Speech Recognition
Preferred Retrieval Options:
Web Retrieval
Secure Email
Secure Fax
US Mail
Need to Interface with:
Dictaphone System
Linear System
ADT/HL7/EMR
Other ASP
Start Date:
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