Abstract: The invention disclosed herein describes a health care records management system and method of use that utilizes a scribe located in a remote location separate from an examination room. The remote location is electronically connected through a network to a monitor located within the examination room. A caregiver communicates auditorily with the scribe and directs the scribe to manipulate the patient's electronic medical record consistent with the examination in real-time. The caregiver verifies all changes and modifications to the patient's medical record during the examination and can further order tests, diagnostics, prescriptions and referrals electronically at the conclusion of the examination.