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Marinda Thayer

Mobile:  360.749.2155

ThayerMT@ThayerTranscription.net

Customized Client Profile

 

We offer long-term secure web-based services for various medical specialties. Thayer Transcription caters to independent small private practices.  We are able to provide personable professional HIPAA compliant services to practices that may have special needs and requests. For this reason, we must limit our services to small and mid-sized accounts including clinics, individual physicians and small group practices only.

 

Please take a moment to fill out our customized client profile form below to give us a better understanding of your specific medical transcription needs and requests. We will contact you and let you know if we are able to best serve your office at this time. You should receive a response within twenty-four (24) hours.

 

 

New Accounts Status:    OPEN

 

Thayer Transcription

 

Customized Client Profile

 

 

NOTE:   Please fill in all fields

 
1) Contact Name:
 

 
 
2) Company Name:
 

 
 
3) Company Type:
 

Primary Care (please specify)

 


Specialty (please specify)   

 

 

Acute Care
Clinic
 Hospital

Industrial

Pediatrics
Physical Therapy/Chiropractic
 Psychological

Rehabilitation

Other (please specify)

 

 
 
4) Company E-mail:
 

 
 
5) Company Phone #:
 

 
 
6) How do you wish to be contacted?
  E-mail
Phone

 
 
7) Current method of sending dictation:
  Phone-in dictation
Handheld digital recorders
 Cassette tapes
 Other (please specify)

 
8) Current method of receiving transcription:
  Secure web-based interface
Secure FTP server
E-mail

Fax

Automated remote printing
Other (please specify)

 
9) How many practitioners/physicians will dictate?
  1-2
 3-5
 6-10
 11-25
 25+
 
10) What type of report will be dictated? (check all that apply)
  Consultation
 Progress/SOAP note
 Radiology report
 Referral Letter
 Hospital report
 Phone message

DOT/CDL

Social Security Disability

Industrial/Occupational

History & Physical

Emergency Room

Office Procedure
Other (please specify)

 
 
11) Do you require specialized forms or formats? (check all that apply)
  EMG
 Nerve Conduction Study
Echocardiogram
Radiology

Not sure

Other (please specify)

 
 
12) When will you need this medical transcription service?
  ASAP
 In one month
 In two months
 More than two months
 
13) Will the service be required to transcribe a foreign accent?
  No
 Yes  (please specify)

 
 
14) Do you currently use in-house transcription?
  No
 Yes  

 
 
15) Will Thayer Transcription be your sole provider or used for overflow work?
  Sole provider
Overflow

 
 
16) Which word processor do you prefer?
  Word Perfect
MS Word

Doesn't matter
Other (please specify)

 
 
17) What are your office hours?
 

 
 
18) Additional comments:
 

 
 

 

 
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