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Monthly Subscription Authorization
12-Month Commitment · Billed Monthly

Microsoft Dragon Copilot Subscription Authorization

Complete the form below to authorize recurring monthly billing and the one-time implementation fee for the Microsoft Dragon Copilot hosted service subscription.

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Account Information

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License Users

1 license

Add each user who will receive a Dragon Copilot license. Charges are multiplied by the number of users.

1
One-Time Implementation Fee (1 × $350)$350.00
Annual Account Maintenance Fee (1 × $175)$175.00
First Month Subscription (1 × $159.99)$159.99
Total Due Today$684.99
Monthly Recurring (starting November 26, 2026)$159.99/mo

Clinical App Connector

Optional Add-on

Clinical App Connectors enable integration between Dragon Copilot and your EHR/clinical systems. Available connectors as of July 2026 — we constantly add more, so check back or contact us.

Billing Address

Agreement & Signature

By signing this agreement:

  • •I confirm that I am authorized to place orders on behalf of the purchasing entity and to bind the entity to the Nuance End User License Agreement (EULA).
  • •I acknowledge that I have read and, on behalf of the purchasing entity, agree to the terms of the Subscription Policy, available at https://dictationone.cloud/p-DMO-Policy. I understand that this policy governs Dragon Medical One, Microsoft Dragon Copilot, Dragon Legal Anywhere, and Dragon Professional Anywhere hosted subscriptions.
  • •I agree that the initial subscription term for the Dragon Copilot hosted service is as selected (monthly, non-cancellable). I understand that subscriptions cannot be canceled mid-term but licenses may be reassigned to a different user once per 12-month period.
  • •I authorize the credit card on file to be charged monthly for the full duration of the subscription term. I understand that the subscription is non-cancellable.
  • •I acknowledge there is a one-time implementation fee per subscription license, as previously discussed.
  • •I understand that the PowerMic Mobile App is included free of charge with the new license subscription.

Type your full legal name below as your electronic signature. By typing your name, you acknowledge this serves as your legal electronic signature.

Date: 10/26/2026
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Order Summary

New Subscription · 1 license

Implementation Fee$350.00
Annual Maintenance$175.00
First Month$159.99
Recurring after today$159.99/mo
Total Due Today$684.99
12-Month Subscription Summary
One-time fees (today)$525.00
Monthly recurring$159.99/mo
Total over 12 months$2444.88
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12-month commitment · Billed monthly · Non-cancellable

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