Help Us, Help You!


Please complete the availability form below and select the following shifts that you are available to work during the fall (August-December 2017). 

Name *
Name
Monday
Tuesday
Wednesday
Thursday
Friday

Help Us, Help You!


Please complete the availability form below and select the following shifts that you are available to work during the fall (August-December 2017). 

Name *
Name
Monday
Tuesday
Wednesday
Thursday
Friday

Help Us, Help You!


Please complete the availability form below and select the following shifts that you are available to work during the fall (August-December 2017).

Name *
Name
Monday
Tuesday
Wednesday
Thursday
Friday

Help Us, Help You!


Please complete the availability form below and select the following timeframe you are expecting to remain with ProScribe. *This will not negatively impact your current status or good standing with ProScribe.

Name *
Name
Please select which market you are employed in.

Help Us, Help You!


Please complete the availability form below and select the following shifts that you are available to work during the fall (August-December 2017). 

Name *
Name
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

How Are We Doing?


Please complete the survey below. If you have questions, comments, or concerns please feel free to reach out to:

 

Catherine Coulter

Senior Account Manager

ccoulter@proscribemd.com

(c) 979-318-0219

(o) 210-545-2500 x 109

 

Physician Survey

Your Name
Your Name
(Optional; You may remain anonymous.)
Overall, I am satisfied with the performance of my scribes. *
Overall, I am satisfied with the performance of my scribes.
I am satisfied with the charting of the initial encounter. *
I am satisfied with the charting of the initial encounter.
I am satisfied with the charting of subsequent information. *
I am satisfied with the charting of subsequent information.
I am satisfied with their speed and organization. *
I am satisfied with their speed and organization.
I am satisfied with their proactiveness and their ability to keep me on track. *
I am satisfied with their proactiveness and their ability to keep me on track.

Help Us, Help You!


Please complete the availability form below and select the following timeframe you are expecting to remain with ProScribe. *This will not negatively impact your current status or good standing with ProScribe.

Name *
Name
Please select which market you are employed in.
Monday
Tuesday
Wednesday
Thursday
Friday
(Full time is 30+ hours a week)

Help Us, Help You!


Please complete the availability form below and select the following timeframe you are expecting to remain with ProScribe. *This will not negatively impact your current status or good standing with ProScribe.

Name *
Name
Please list the name of the clinic that you work at.
Monday
Tuesday
Wednesday
Thursday
Friday
(Full time is 30+ hours a week)