Student Name ________________________________________________________________
Enter the date of completion below for your Transcription test and/or Quali-Care test. If you are mailing this sheet via the U.S. Postal Service, give this sheet (or a copy of it) to your Facilitator with your transcribed work. If you are e-mailing your work, you may keep track of your grades on this sheet, but you do not have to e-mail it with your work.
Report Number/Patient Name/Report Type Date Completed/Grade
Trans Test 1, Kayleen Moore (Correspondence)______________________________
Trans Test 2, Maggie Ricks (Operative Report)______________________________
Trans Test 3, Maggie Ricks (Pathology Report)______________________________
Trans Test 4, Marie Louise Ulbright (Discharge Summary)_____________________
Trans Test 5, Andrea Nicole Scaglione (Operative Report)______________________
Trans Test 6, Kathy B. Cooper (Radiology�CT Scans)________________________
Trans Test 7, Victor A. Petelin (Oncology Consult)____________________________
Trans Test 8, Willa Mae Daily (Discharge Summary)__________________________
Trans Test 9, Matt Duncan (Death Summary)________________________________
Trans Test 10, Jennifer Singleton (Autopsy Report)____________________________
QC Test 1, Danny Padro (Hematology Consult) ______________________________
QC Test 2, Glenda Garland (Oncology Consult)______________________________
QC Test 3, Diane Vandiver (Internal Medicine HPIP)__________________________
QC Test 4, Marge Parker (Oncology Consult)________________________________
QC Test 5, Toussaint A. Dubois (Radiology�Echocardiogram)__________________
QC Test 6, Shirley Wagner (Infectious Disease Consult)________________________
QC Test 7, Eloise Marie Noll (Oncology Consult)_____________________________
QC Test 8, Eloise Marie Noll (Correspondence)_______________________________
QC Test 9, Emily Pickens (Orthopedic Consult)_______________________________
QC Test 10, Blanche Garza (Physical Therapy Consult)__________________________