Thank you for your interest in the MediTalk product(s) by Quincy Systems.  An actual demonstration of the program on CD will be sent  immediately upon receipt of your submission.  One of our representatives will be in touch with you soon, and will have already developed a profile based on the information that you have provided below.

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First Name:

Last Name:

Title:  (MD, DO, DC, other list)

Practice Name:

Specialty:

Number of Locations:

Main Address:

City:

State:     Zip:

Telephone:    Fax:

Email Address:

Do you have a high speed/broadband connection available for    a live demonstration over the internet? yes no

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Number of physicians in practice:

Average monthly expenditure for transcription service:

Best time to be contacted:

Is Medical Manager Software used (version if known):

If no, other software used for billing/demographics:

Are computers networked?

If yes, type of Server (Unix, NT, 2000):

If networked, how many computers connected:

Computer Mfg. (Dell, Gateway, other):

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Prior experience with voice dictation or speech recognition:

Number of Physicians interested in voice dictation:

Briefly describe below, goals or project under consideration:

Time frame established for the above listed: Search Engine Used to find us: Keyword:

  

 

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