> ## Documentation Index > Fetch the complete documentation index at: https://docs.letters.app/llms.txt > Use this file to discover all available pages before exploring further. # Your First Transcription > How to create your first transcription by recording or uploading audio. To create your first transcription, click **New Transcription** in the transcribe pane on the homepage. You will be prompted to enter the Patient Name to begin. You can choose to use consultation mode. This mode allows Letters to detect multiple speakers and name them accordingly in the transcription output. Record a new transcription by clicking **Start** in the record menu of the audio pane. Alternatively, upload an audio file from the upload menu. !\[]\(/images/upload audio.jpg) You can also input your own notes to be used in the transcription for things you have not said out aloud. Upon completion of a recording, a transcript will be generated in the transcript pane, which offers various editing and organisation options. If using consultation mode, you can detect and name the speakers by clicking manage speakers. Manually edit the generated transcription text. Start a new Letter and automatically add the transcription as a source. Copy the transcript into a conversation with Assistant, attach it as a source to a Letter, or copy it to use elsewhere. Intelligence allows you to customise how your transcription is interpreted and summarised. You can manage this from the **Intelligence** tab in the Transcription Output Pane. You will be given the option to choose an **Intelligence Type**: * **Notes**: A detailed clinical summary with structured headings (e.g. Presenting Complaint, History, Examination). * **Patient Summary**: A simplified version of the notes, optimised for patient understanding. **AI Suggestions**\ Based on the content of your transcript, the Assistant will generate real-time suggestions—such as **Disease Fact Sheets** or **Patient Action Plans**—to support clinical workflows. **Custom Intelligence Types**\ You can also create your own **Custom Type** to match your preferred documentation style. Give it a name (e.g. SOAP Notes) and provide formatting instructions. Once saved, it becomes reusable across all future transcriptions.