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  Client Name :
  Tele :
  E-mail ID :
   
 
Type of Medical Practice :
If others, please specify :
   
  Preferred Dictation Method :
   
  How many Physicians will need Medical Transcription :
   
  Expected turn around time :
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  What type of Document will be dictated
  If others, please specify:
     
  Approximately how many mins of dictation require transcription daily?
     
  How soon do you require the transcription service?
     
  Name the reference with contact details: [If applicable] :
     
 

 

    

 

 


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