Dragon Medical One Subscription Questions

Is the subscription for a solo practitioner or as part of an organization with a DMO account administrator? (required) Is the subscription for a solo practitioner or as part of an organization with a DMO account administrator? (required) Solo practitioner Practitioner as part of a group

Name of Company or Organization

Account administrator's (for payment) full name

Account administrator's email address

Account administrator's phone number

DMO user's full name

DMO user's email address; to be used for their login ID (required)

DMO user's phone number (required)

Address (required)

Do you wish a 1, 2, or 3 year term? (required) Do you wish a 1, 2, or 3 year term? (required) 1 Year ($109 per month or $1,308 per term) 2 Year ($99 per month or $2,376 per term) 3 Year ($89 per month or $3,204 per term)

Do you wish to pay monthly or pre-pay for the entire term? (required) Do you wish to pay monthly or pre-pay for the entire term? (required) Monthly Pre-pay for entire term

Who will install DMO? Who will install DMO? Speakeasy Solutions I (client) will install (contacting Speakeasy Solutions if needed) Undecided

Please describe your microphone availability (check all that apply) Please describe your microphone availability (check all that apply) I have a microphone I will use my Smartphone as a microphone I need a microphone I am not sure (Speakeasy Solutions will contact you to discuss options)

If known, what microphone(s) do you have?

Additional Notations for Speakeasy Solutions

Have you read the DMO requirements or passed these on to your IT support? Have you read the DMO requirements or passed these on to your IT support? Yes Hardware & Internet Requirements for Dragon Medical One No