HealthScribe
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Emergency Department
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Contact
HealthScribe
About Us
Primary Care
Specialty Clinic
Emergency Department
Hospital
Urgent Care
Apply Now
Learn More
Contact
Scribe Evaluation
Please lets us know how we can improve your experience!
Name of the medical scribe you worked with today:
*
First Name
Last Name
Today's date when you worked with your scribe:
MM
DD
YYYY
Please provide any positive and/or negative feedback based on the performance of your scribe.
How was their spelling? 1 = poor performance, needs much improvement 5= stellar performance, needs very little improvement
1
2
3
4
5
How was the strength of the HPI? 1 = poor performance, needs much improvement 5= stellar performance, needs very little improvement
1
2
3
4
5
Were there any contradictions between the HPI and ROS?
YES
NO
Were there any missing components within the chart? ( EX: scribe statement, HPI, past medical history, EKG, heart score, NIH, physical exam findings)
Any other comments or concerns based upon your experience with your scribe?
Thank you!