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Request Quote

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:: CLIENT INFORMATION ::
NAME
CONTACT ADDRESS
PHONE NUMBER
E-MAIL ID
COMMENTS
 
:: PRELIMINARY QUOTATION ::
TYPE OF PROVIDER FACILITY

PRIMARY CARE
 TERTIARY CARE
SPECIALITY CLINICS
POLY CLINICS
HOSPITALS
DICTATION MODE

TOLL FREE PHONE HAND HELD DEVICES
OTHER SYSTEMS ALL

NATURE OF DICTATION
 GENERAL NOTES HOSPITAL REPORTS LETTERS
EMERGENCY REPORTS ALL
TAT (Turn Around Time)
> 48 HOURS BETWEEN 24 & 48 HOURS < 24 HOURS
SAME DAY
 12 HOURS 8 HOURS
STAT REPORTS
 4 HOURS 8 HOURS
How soon do you intend to use the service?

IMMEDIATE
WITHIN A MONTH
WITHIN 6 MONTHS
Number of practitioners who will use this service?
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