Project Manager

MModal Voice Application Form

Please complete the following to apply for MModal Access:

First Name:

Last Name:

Email:

Best Contact Number:

Campus Key:

Practice Name:

Employees of Abington Health Physicians who plan to use Fluency Direct in their outpatient practice should enter their computer name below (this should be on the sticker on the outside of your device):

How would you describe your current use of traditional dictation? None
Minimal
Moderate
Significant

Are others in your practice currently using MModal? If so, how many? No one is currently using it
A few are using it
About half of my colleagues are using it
Most other providers in my group are using it

How do you believe the use of MModal will impact your efficiency and/or patient care? Little to no impact
Some impact
Moderate impact
Significant impact

Are you willing to commit to problem-oriented charting? No, I am against problem-oriented charting
Yes, I am willing to learn about it
Yes, I already use this method occasionally
Yes, I use problem-oriented charting all the time

For how much of your charting and documentation are you willing to commit to using voice dictation? Non-commital/Less than once per month
At least 25% of the time
At least 50% of the time
More than 75% of the time

Will you commit to using the TigerConnect texting app for secure communication? No
Yes, I plan to install it
Yes, I already use it occasionally
Yes, I use it all the time

How would you describe your typing skills? Proficient
Good
Moderate
Poor

By checking this box and clicking 'Submit,' I acknowledge that I have read and agree to the guiding principles for the use of the MModal voice dictation software.