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First Name*
Last Name*
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Address (cont.)
City*
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How many years of experience do you have in the medical transcription field?

What transcription settings have you worked in?

Hospital

Physician's Office/Clinic

Transcription Service

Independent Contractor

Other:

What types of reports have you transcribed?

H&P	Discharge
Radiology	Consultations
Cardiology	Orthopedics
Psychiatric	Pathology
Operation Notes	ER Reports
Clinic Notes	OB/GYN
All of the above

Other:

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