This page is to be used for submitting trouble reports only. Please complete the form below. If email and fax number do not apply, please type "none"
Additional information may be faxed: (419) 858-6173
Trouble Report Form
* Description of problem:
* When was this first detected:
* Task being performed at time:
List any error messages:
* What screen were you in:
* Was mic left on while not dictating at any time:
Yes No
* Name:
State/Zip:
Zip/Postal:
Practice/Hospital Name:
* Phone #:
Fax #:
* Email:
In most cases, we will contact you shortly to determine a time we can connect to your PC to rectify the problem. We thank you for your patience.
* required fields (5 fields not required but listed for verification purposes)
Since we have your email address, a copy of this submissionwill be emailed back to you as a reference.
If you feel there is any additional information that may be helpful in resolving this matter, please indicate below:
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