Please note: All professional Medical Transcriptionists practice and maintain high standards of confidentiality in association with all patient medical records and patient health care information. The sample reports provided are actual dictations on real patients and procedures, but all personal information (including patient and physician names) has been deleted or changed, in order to maintain the highest professional standards of patient/physician confidentiality and responsibility.

These are sample reports of different dictation styles, and are part of this web site for information and educational purposes only - not intended to replace professional medical advice or opinions from qualified, licensed physicians.

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ANESTHESIOLOGY - PAIN PROCEDURES

CARDIOLOGY

CARDIOTHORACIC & CARDIOVASCULAR SURGERY

ENT (Ears, Nose, and Throat)

GASTROENTEROLOGY

GENERAL SURGERY

JCAHO (Joint Commission) Do Not Abbreviate List
You can read more about this on the Internet - Not all hospitals are complying at the present time

LABORATORY TESTS

MISCELLANEOUS REPORTS

NEUROLOGY

OBSTETRICS/GYNECOLOGY

OPHTHALMOLOGY

ORTHOPEDICS

PLASTIC SURGERY

PODIATRY (D.P.M.)

PULMONOLOGY

RADIOLOGY SAMPLES (Off-Site, PDF files)

UROLOGY

SAMPLE CONSULTATION

SAMPLE DISCHARGE SUMMARY

SAMPLE EMERGENCY ROOM REPORT

SAMPLE HISTORY & PHYSICAL

HOT TIPS FOR PROFESSIONAL-LOOKING DOCUMENTS

DICTATION GUIDELINES FOR PHYSICIANS ;)

Recommended Reference Books for Newbie MTs

CODE STATUS, RESUSCITATION, AND "CRASH CARTS"

OTHER RESOURCES

PHYSICAL SIGNS (List)

RESOURCE LINKS PAGE

Definition of "de-identified health information (HIPAA)"

Forensic Pathology (Mayo Clinic) Looks at the Crucifixion of Jesus Christ

Stedman's Medical Dictionary for the Health Professions and Nursing, Illustrated

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Please feel free to print and distribute any of the reports from this web site. My only requirement is that you give credit to this web site by placing the referral note below back to this site:

Copyright 2005-2010, Copied with Permission from the web site,
"Patients and Medical Transcription" at http://www.mt-stuff.com

If you do use these sample reports for students or classes, please let me know. My goal for this web site is to mentor future MTs to carry on our professional craft and legacy; I would like to know I helped in some small way to achieve that goal.
Thank you and May God Bless You,
Rosemarie