Exhibit 99.4

                         NOTICE OF GUARANTEED DELIVERY
                                   TO TENDER
        OUTSTANDING UNREGISTERED 11% SENIOR SUBORDINATED NOTES DUE 2012
                                       OF
                                  SPHERIS INC.
                 PURSUANT TO THE EXCHANGE OFFER AND PROSPECTUS
                           DATED               , 2006

     As set forth in the Prospectus, dated          , 2006 (as the same may be
amended or supplemented from time to time, the "Prospectus"), of Spheris Inc., a
Delaware corporation (the "Company"), under the caption "The Exchange
Offer -- Guaranteed Delivery Procedures" and in the Letter of Transmittal to
tender 11% Senior Subordinated Notes Due 2012 of the Company, this form or one
substantially equivalent hereto must be used to accept the Exchange Offer (as
defined below) if: (i) certificates for outstanding unregistered 11% Senior
Subordinated Notes Due 2012 (the "Outstanding Notes") of the Company are not
immediately available, (ii) time will not permit all required documents to reach
the Exchange Agent on or prior to the Expiration Date (as defined below), or
(iii) the procedures for book-entry transfer cannot be completed on or prior to
the Expiration Date. This form may be delivered by facsimile transmission, by
registered or certified mail, by hand, or by overnight delivery service to the
Exchange Agent. See "The Exchange Offer -- Procedures for Tendering" in the
Prospectus.

THE EXCHANGE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT 5:00 P.M., NEW YORK CITY
TIME, ON             , 2006 (THE "EXPIRATION DATE"), UNLESS THE EXCHANGE OFFER
IS EXTENDED BY THE COMPANY.

                 THE EXCHANGE AGENT FOR THE EXCHANGE OFFER IS:
                              THE BANK OF NEW YORK

<Table>
                                                                
             By Mail:                By Overnight Courier or Hand:              By Facsimile:
       The Bank of New York               The Bank of New York           (212) 298-1915 (for eligible
    Corporate Trust Operations         Corporate Trust Operations             institutions only)
       Reorganization Unit                Reorganization Unit               Confirm by Telephone:
   101 Barclay Street -- 7 East       101 Barclay Street -- 7 East              (212) 815-3738
        New York, NY 10286                 New York, NY 10286
    Attn: Evangeline Gonzales          Attn: Evangeline Gonzales
   Telephone No. (212) 815-3738       Telephone No. (212) 815-3738
</Table>

     DELIVERY OF THIS NOTICE OF GUARANTEED DELIVERY TO AN ADDRESS OTHER THAN AS
SET FORTH ABOVE OR TRANSMISSION OF INSTRUCTIONS VIA A FACSIMILE TRANSMISSION TO
A NUMBER OTHER THAN AS SET FORTH ABOVE WILL NOT CONSTITUTE A VALID DELIVERY.


Ladies and Gentlemen:

     The undersigned hereby tenders to the Company, upon the terms and
conditions set forth in the Prospectus and in the Letter of Transmittal (which
together constitute the "Exchange Offer"), receipt of which is hereby
acknowledged, the principal amount of Outstanding Notes set forth below pursuant
to the guaranteed delivery procedures described in the Prospectus and in the
Letter of Transmittal.

     The undersigned understands and acknowledges that the Exchange Offer will
expire at 5:00 p.m., New York City time, on           , 2006, unless extended by
the Company.

     All authority herein conferred or agreed to be conferred by this Notice of
Guaranteed Delivery shall survive the death or incapacity of the undersigned and
every obligation of the undersigned under this Notice of Guaranteed Delivery
shall be binding upon the heirs, personal representatives, executors,
administrators, successors, assigns, trustees in bankruptcy and other legal
representatives of the undersigned.

<Table>
<Caption>
- ----------------------------------------------------------------------------------------------------------
                                DESCRIPTION OF OUTSTANDING NOTES TENDERED
- ----------------------------------------------------------------------------------------------------------
CERTIFICATE NUMBER(S) (IF KNOWN) OF                            AGGREGATE PRINCIPAL
OUTSTANDING NOTES OR ACCOUNT NUMBER                                  AMOUNT           AGGREGATE PRINCIPAL
AT THE BOOK-ENTRY FACILITY                                         REPRESENTED          AMOUNT TENDERED
- ----------------------------------------------------------------------------------------------------------
                                                                               
- ----------------------------------------------------------------------------------------------------------
- ----------------------------------------------------------------------------------------------------------
- ----------------------------------------------------------------------------------------------------------
                                                               Total:        ..        Total:
- ----------------------------------------------------------------------------------------------------------
</Table>

PLEASE SIGN AND COMPLETE

<Table>
                                                                                                  
Signature(s):                                          Name(s):
               -------------------------------------   ----------------------------------------------------------
 Address: -----------------------------------------    Capacity (full title), if signing in a representative
                     (ZIP CODE)                        capacity:
                                                       ----------------------------------------------------------
Area Code and Telephone Number:
- -----------------------------------------------------------------------------------------------------------------
Dated: --------------------------------------------    Taxpayer Identification or Social Security Number: -------
</Table>

THE GUARANTEE ON THE FOLLOWING PAGE MUST BE COMPLETED


                                   GUARANTEE
                   (NOT TO BE USED FOR SIGNATURE GUARANTEES)

     The undersigned, being a member firm of a registered national securities
exchange, a member of the National Association of Securities Dealers, Inc., or a
commercial bank or trust company having an office or correspondent in the United
States, or an "eligible guarantor institution" within the meaning of Rule
17Ad-15 under the Securities Exchange Act of 1934, as amended, hereby guarantees
(a) that the above named person(s) "own(s)" the Outstanding Notes tendered
hereby within the meaning of Rule 14e-4 ("Rule 14e-4") under the Securities
Exchange Act of 1934, as amended, (b) that such tender of such Outstanding Notes
complies with Rule 14e-4, and (c) to deliver to the Exchange Agent the
certificates representing the Outstanding Notes tendered hereby or confirmation
of book-entry transfer of such Outstanding Notes into the Exchange Agent's
account at The Depository Trust Company, in proper form for transfer, together
with the Letter of Transmittal (or facsimile thereof), properly completed and
duly executed, with any required signature guarantees and any other required
documents, within three New York Stock Exchange trading days after the
Expiration Date.

Name of Firm:
- --------------------------------------------------------------------------------

Address:
- --------------------------------------------------------------------------------

Area Code and Telephone No.:
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Authorized Signature:
- --------------------------------------------------------------------------------

Name:
- --------------------------------------------------------------------------------

Title:
- --------------------------------------------------------------------------------

Dated:
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NOTE:  DO NOT SEND CERTIFICATES OF OUTSTANDING NOTES WITH THIS FORM.
CERTIFICATES OF OUTSTANDING NOTES SHOULD BE SENT ONLY WITH A LETTER OF
TRANSMITTAL.