Customer Registration

First name

Last name

Company/Firm

Date Of Birth

Professional Title

Country

Address

Address Line 2

City

State

Zip Code

Receive Mailings From 3rd Party Organizations

Yes No

School/Program Name

Company Type

Educational organization MTSO (medical transcription service organization) Hospital or healthcare system Physician or practice group Consulting company Technology company Veterinary organization Other

Primary Work Setting

At home Blend of home and employer’s office Employer’s office/facility Other

Profession

Business Owner Educator Healthcare Documentation Specialist Manager/Supervisor Recruiter/Trainer Speech Recognition Editor Other Profession

Job Roles


	Medical transcriptionist (traditional)
	Speech/voice recognition editor
	Document integrity auditor
	Compliance (HIPAA privacy and/or security)
	Clinical documentation improvement specialist
	Medical scribe
	Manager/Supervisor
	Executive manager
	Educator
	Coder
	Health information management professional
	Healthcare provider (physician, nurse)
	Informatics
	Sales, marketing
	HR, recruiting
	Trainer
	Quality assurance
	Veterinary Scribe
	Veterinary Tech
	Other

Current Employment Status

Business Owner Employee Independent Contractor Student Retired Other

Age Bracket

25 or under 26-35 36-45 46-55 56-65 66 or over