Sometimes you finish a consult and realise you want one more document for the same patient: an extra note, a quick referral letter, a message to a colleague. You don't need to start a new patient to do it. Add a blank output to the consult you're already in, then speak the content straight into it.

```callout kind="info"
Before you start: run your consult and generate your outputs as usual. The **+** button that adds a blank output only becomes available once outputs have been generated.
```

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```

## Add the blank output

```steps
1. Look at the outputs toolbar, above your generated cards. Next to **Select Outputs** there is a **+** button.
2. Click **+**. A new card titled **New Output - Draft** appears at the front of your outputs row.
3. The new card is empty. It shows the prompt *Start typing or use the microphone to dictate your content.*
```

```callout kind="info"
You can add as many blank outputs as you need. Click **+** again for each extra note or letter, then dictate into each one.
```

## Dictate into it

The blank output has a microphone tucked into the top corner of the card. This is Dictate Anywhere.

```steps
1. Hover the card and select the microphone (it reads **Dictate**).
2. Recording starts. Moving bars confirm i-scribe is picking up your voice.
3. Speak your note or letter naturally, the way you would to a colleague.
4. Select the stop button (the square) when you're finished. Use the **x** beside it to cancel without saving.
```

```callout kind="info"
You can dictate in plain language and let i-scribe tidy it up. You don't have to speak the exact final wording or dictate punctuation.
```

## What you'll see

Once you stop, i-scribe transcribes what you said and turns it into a clean, structured document, then drops it into the new output. The card sits alongside the outputs i-scribe generated, and you can rename it, edit it, copy it, or approve it like any other output.

```callout kind="care"
Always read the finished output before you approve or send it. Dictated content is transcribed and tidied automatically, but you remain responsible for the final document.
```

## Related

- To speak a change into an output that already has content, see [Dictate edits straight into your note](/i-scribe/dictate-changes-into-an-output).
- To type a change or ask i-scribe to revise an output, see [How to make changes to documents using the smart adjustor tool](/i-scribe/how-to-use-adjustor-tool).
- To change which outputs a consult produces, see [How to select outputs during a consult](/i-scribe/how-to-select-outputs-during-a-consult-0).

If you need any help, reach out to our support team at [support@akuru.com.au](mailto:support@akuru.com.au).