ViewSmart is Medi Globe Inc’s Online Electronic Medical Record Service, committed to enable providers enhance the quality of care provided to all patients. Based on the Triple Advantages of Accessibility, Comparability and Affordability, our upgraded Online Transcription Service

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Medi Globe Inc, Two CityPlace Drive, Suite 200, St. Louis, MO 63141

Please provide the following contact information: *= Required information

Physician / Practice Name*

Contact Name*

Street Address

Address (cont.)*

Country*

State/Province*

City*

Zip/Postal Code*

FAX

E-mail*

Web Address

Work Phone*

Area Code

Phone

Ext

Preferred method of contact

Phone E-Mail US Mail

Do you require STAT delivery (< 18 hours)?

Yes No

Requested Turn-around Time

<24 hrs <36 hrs <48 hrs

Will the service be required to transcribe a foreign accent?

Yes No

Do you require coding and billing in addition to transcription?

Yes No

Number of providers in your org

<5 <10 <25 <50 100+

Preferred dictation method

Hand held digital recorder Remote phone-in

Preferred delivery method

E-Mail FTP Fax

WebAccess Open to suggestions

Preferred Word Processing Software

MS Word WordPerfect Other

Please select the medical specialty of your practice or project (Choose atleast one speciality)

Comments (up to 350 characters)

User Login

Username

Password

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For additional information, please contact at 314 812 2772 or email at getsmart@mediglibeusa.com