AI medical scribe that stays
on your device.
Every other AI scribe — Freed, DeepScribe, ScribeMD, Heidi Health — uploads patient audio to cloud servers. VoicePrivate processes everything locally. Patient audio never leaves your computer.
The problem with
every other AI scribe
The AI medical scribe market is crowded. Freed, DeepScribe, ScribeMD, Heidi Health, Nuance DAX, Abridge — all of them record the physician-patient encounter and stream or upload that audio to cloud infrastructure for processing.
That architecture has a direct consequence: patient audio exists on a third-party server that you don't control, that your IT department can't audit, and that carries its own breach risk. Under HIPAA, that relationship requires a signed Business Associate Agreement and a documented security risk assessment. Most solo and small-practice clinicians skip both steps, leaving themselves exposed.
The practical reality for a busy physician isn't abstract compliance risk — it's that uploading patient conversations to a vendor's cloud creates obligations and exposure that didn't exist before you started using the tool.
The following tools all require cloud audio upload to function. If you're evaluating AI medical scribes, this is the default architecture you're choosing between.
VoicePrivate is built differently. The transcription engine runs on your device using local AI models. When you dictate a clinical note, the audio is captured, processed, and converted to text entirely on your Mac or Windows machine. Nothing is transmitted. There is no server receiving your patient's words.
How VoicePrivate works
as an AI medical scribe
Same output as an ambient scribe. Completely different data path.
Freed / DeepScribe / ScribeMD
- Mic captures physician-patient encounter
- Audio streamed or uploaded to vendor cloud
- AI processes audio on vendor servers
- Draft note returned to physician
- Patient audio exists on vendor infrastructure
On-device AI scribe
- Physician dictates clinical note via hotkey
- On-device AI transcribes with 74,000+ medical terms
- Grammar polish and hallucination stripping applied locally
- Text typed directly into your EHR or notes app
- Patient audio never leaves your device. Ever.
Works for how clinicians actually document
VoicePrivate types directly into whatever you're working in. No integration required.
Post-visit note dictation
Dictate SOAP notes, assessment and plan, or progress notes immediately after a visit. VoicePrivate types directly into your EHR's note field. Works with Epic, Cerner, Athenahealth, Practice Fusion, and any web-based system.
Between-call documentation
Use VoicePrivate to dictate chart notes in the 2-3 minutes between telehealth appointments. No audio from the patient session involved — just your own dictation, processed locally, typed into your chart.
Rapid clinical notes
Admit notes, discharge summaries, procedure notes — dictate them on your Mac or Windows laptop. VoicePrivate recognizes clinical shorthand, anatomical terms, drug names, and lab abbreviations out of the box.
Session notes without PHI risk
Dictate DAP or SOAP session notes after each patient. Sensitive therapeutic content stays on your device — not on a vendor's server you can't audit or control.
Imaging report dictation
Report findings at full speed. The radiology vocabulary set covers anatomical structures, imaging modalities, and measurement terminology. Works offline for reading rooms with connectivity constraints.
No connectivity required
VoicePrivate works entirely offline. Rural clinic, basement imaging suite, patchy hospital Wi-Fi — the scribe still works because there's no cloud call to make.
VoicePrivate vs. cloud AI scribes
The tools ranking alongside VoicePrivate for "ai medical scribe" all require cloud audio upload.
| What matters | VoicePrivate | Freed | DeepScribe | ScribeMD | Heidi Health |
|---|---|---|---|---|---|
| Audio stays on device | ✓ Always | ✗ Cloud | ✗ Cloud | ✗ Cloud | ✗ Cloud |
| Works offline | ✓ | ✗ | ✗ | ✗ | ✗ |
| BAA required | No — no data sharing occurs | Yes | Yes | Yes | Yes |
| Types into any EHR | ✓ Any text field | Native integrations only | Native integrations only | Native integrations only | Native integrations only |
| Medical vocabulary | 74,000+ terms | Clinical NLP | Clinical NLP | Clinical NLP | Clinical NLP |
| Works on Windows | ✓ | Web-based | Web-based | Web-based | ✓ |
| Custom dictionary | ✓ | ✗ | Limited | ✗ | ✗ |
| Privacy audit log | ✓ SHA-256 local | ✗ | ✗ | ✗ | ✗ |
| Monthly price (per user) | $34.99/mo | $99/mo | Custom | Custom | $99/mo |
Competitor pricing and features based on publicly available information. Subject to change.
Healthcare Edition pricing
- 74,000+ medical terms included
- Unlimited dictation
- Works on Mac and Windows
- Works fully offline
- Types into any EHR
- Privacy audit log
- Custom dictionary
- 99 languages supported
- No BAA required
Free tier available. No credit card required to try.