On-device recognition
Advanced speech recognition runs entirely on your computer for complete privacy and control.
VoicePrivate Healthcare
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PRIVATE DICTATION FOR CLINICIANS ON WINDOWS AND MAC
VoicePrivate Healthcare Edition is medical dictation software for Windows and Mac. Medical speech recognition runs on your own computer and types into any EHR field. Your audio never leaves your computer, and nothing is sent to our servers.
$297/year · 30-day money-back guarantee

Your thoughts never need
a server.
Advanced speech recognition runs entirely on your computer for complete privacy and control.
Dictate anywhere, anytime. No internet connection required.
General, Healthcare, Legal, Finance, and Insurance.
HOW IT WORKS
VoicePrivate does not connect to your EHR. It types. Put the cursor in a note field, press Ctrl+Shift+Space on Windows or Command+Shift+Space on a Mac, and speak. The recognized text is typed into whichever window holds keyboard focus: a desktop EHR, a browser based portal, a patient message, an email or a Word document.
Press. One hotkey, from any app. Speak. Dictate the note the way you would say it to a colleague. Speech recognition runs on your computer, using the 74,000+ term medical dictionary plus any words you add. Review. The text lands in the field you chose, and you read it before you sign it.
Nothing is installed on the EHR side and there is no plugin for IT to approve, so it works with Epic, Cerner or any other EHR text box that accepts typed text. Your audio and the recognition stay on your computer and nothing is sent to our servers. Once the text is in your EHR, the EHR stores it under its own policies.
VoicePrivate does not write structured fields back into the chart, and it does not listen to the visit or draft a note from the encounter. If you want an ambient scribe, see the explainer on medical speech recognition and cloud scribes further down this page.
01 · THE LOCAL DIFFERENCE
Privacy controls can change what a cloud service keeps. VoicePrivate changes where speech recognition happens.
02 · EFFORTLESS, BY DESIGN
One shortcut brings your voice to the app you’re already using. No meeting bot. No new place to write.
Press to record here, or use
Reviewed progress since the previous visit and discussed the patient’s questions. Confirmed the current medication list and documented the agreed follow-up. Patient understands the next steps and will contact the practice with any concerns.
A single shortcut, wherever you work.
Dictate naturally. Recognition runs locally.
Review the text in your chosen application.
03 · LANGUAGE THAT BELONGS TO YOU
Your names. Your terminology. Your way of working. Add a personal dictionary and choose an edition built around the language of your profession.
DRUGS, DOSES AND VITALS
Drug names and doses, as you say them. A brand name is not changed to the generic or the generic to a brand, and brand names such as Eliquis, Xarelto, Norvasc, Lasix and Coumadin are spelled correctly. Dose lines are tidied: "zero point two five milligrams" is no longer written "0, 25 mg", doses are spaced ("10 mg"), and "3x daily" and "for 7 days" are read as part of the dose. A number said again to correct a dose replaces the earlier number. Misheard marks such as "Kama" and "Recolon" are written as the comma and colon you said. Salts such as succinate, besylate and pamoate in "metoprolol succinate" style doses are spelled correctly.
Vitals by voice. Say "insert vitals BP 120 over 80 heart rate 72 temp 98.6" and the values go into the blanks of your vitals shortcut. Field names are optional for numbers, which fill the blanks in order. Vitals are read in more of the forms dictation produces, such as "BP-128, over 82", "BP120", "Sats96", "72RR", "heart rate, 76" and a value said before its name. A reading that cannot be that vital is left as dictated, and critical readings are kept.
Mac: choose your specialty. Choose your medical specialty in Settings, Transcription from 31 specialties, or General for none. VoicePrivate then corrects a misheard word that is not a real word into a close term of your specialty. On Windows the selector is not shown and the full medical dictionary is used.
DICTATION OR AMBIENT SCRIBE
Medical speech recognition turns the note you speak into text. A cloud ambient scribe records the visit and drafts the note for you. VoicePrivate Healthcare Edition is the first kind, and it runs on your Windows PC or Mac with nothing sent to our servers. Most ambient scribes send the encounter audio to a vendor for processing, but not all of them: Voti describes an offline, on-device medical scribe that runs on the iPhone, works with no signal, and states that the audio never leaves the phone (checked 13 October 2026).
| What you are choosing | VoicePrivate medical speech recognition | Cloud ambient scribe |
|---|---|---|
| What it does | Types the note you dictate, word for word, into the active field | Records the visit and drafts a note for you to edit |
| Where the audio goes | Stays on your computer. Nothing is sent to our servers. | Usually sent to the vendor for processing |
| Patient conversation recorded | No. You dictate after or between patients. | Yes, the encounter is recorded |
| Works with the network off | Yes, transcription is local | No, it needs a connection |
| Who writes the note | You do | The scribe drafts it and you edit |
| Price | $34.99 per month or $297 per year | Freed, one widely used scribe, lists $39, $79 and $104 per month depending on the plan |
Choose dictation when you already know what the note says and you want it typed without a server in the path, when your facility restricts network traffic, or when recording the patient conversation raises a consent problem. Choose an ambient scribe when the drafting itself is the work you want handed off. With a cloud scribe, your practice also has to be comfortable with the encounter audio leaving the room. An on-device scribe such as Voti keeps the recording on the phone instead, and VoicePrivate Healthcare Edition stays the dictation side of that choice. The two differ in what you are willing to send away, and in who writes the first draft.
VoicePrivate's cloud versus local medical scribe comparison works through that trade in detail, and the complete guide to medical dictation software covers workflow and what to test before you buy. If you are weighing Microsoft's ambient product, VoicePrivate's Dragon Copilot and DAX pricing breakdown lists what a seat costs, and the AI medical scribe cost guide explains how scribes work end to end. If you are new to the vocabulary, start with VoicePrivate's explainer on what a medical dictation is and how it becomes a signed note, including whether doctors still use transcriptionists. To see exactly what an ambient scribe records in the exam room, read VoicePrivate's guide to ambient AI capture, consent and cost.
04 · CONSIDERING THE ALTERNATIVES?
Dragon Medical One provides cloud-based clinical speech recognition. VoicePrivate Healthcare keeps recognition on your own computer.
Explore a local dictation workflow for Mac and Windows, with medical terminology and control over your own note.
See local dictation ↗Read the Dragon Medical One comparison ↗Cloud controls govern how remote services handle data. VoicePrivate changes the path itself: speech recognition runs on your Mac or PC.
Compare the path ↗Compare the workflow as well as the architecture. Cloud services offer their own security controls; capabilities and integrations differ. Product details reviewed September 2026.
OFFLINE, MAC AND WINDOWS
Transcription needs no internet connection. The medical dictionary and the speech model sit on the local disk, so the same dictation works on a clinic laptop with the network switched off, or in a facility that restricts connectivity. Licensing, downloads and updates do use the internet, and on a Mac the speech model is a one time download.
There is one Healthcare Edition for both platforms: Windows 10 version 1903 or later and Windows 11, or macOS 13 and later. The price is the same on either, $34.99 per month or $297 per year, bought now with a 30-day money-back guarantee and no free trial. The Windows requirements are in the table below.
MEDICAL DICTATION ON WINDOWS
VoicePrivate Healthcare Edition is medical dictation software for Windows 10 (version 1903 or later) and Windows 11, and the recognition runs on that PC instead of on a vendor server. Press Ctrl+Shift+Space, speak the note, and the text is typed into whichever Windows window holds keyboard focus. The 74,000 term medical dictionary and the speech model sit on the local disk, which is why the same dictation still works on a clinic laptop with the network switched off. VoicePrivate ships a macOS build of the Healthcare Edition too, and the Mac hotkey is Command+Shift+Space.
| Operating system | Windows 10 version 1903 or later, or Windows 11. VoicePrivate also has a macOS build. |
|---|---|
| Install | Standard .exe installer. A user install needs no admin rights. Windows 11 includes WebView2. Microsoft says the vast majority of Windows 10 devices already have it, but a small number do not. The VoicePrivate installer downloads and installs WebView2 if it is missing. |
| Memory | 8 GB minimum. 16 GB is the comfortable figure for on-device transcription while an EHR is open. |
| Disk | About 500 MB for the app and the base model. Extra models are optional. |
| Microphone | Any microphone Windows already recognizes, including USB headsets, built-in laptop mics, and external audio interfaces. |
| Hotkey | Ctrl+Shift+Space on Windows, Command+Shift+Space on Mac. |
| Clinical vocabulary | 74,000+ medical terms in the Healthcare Edition dictionary, plus your own custom words. |
| Backup | Automatic encrypted backup about once an hour to a folder you choose, such as OneDrive, Documents or a network drive. The last 10 are kept. |
| Network | None needed to transcribe. Licensing, downloads, and updates use the internet. |
| Price | $34.99 per month or $297 per year, same price on Windows and Mac. |
VoicePrivate Healthcare Edition is dictation software, so it does the part where you speak a note and it appears as text. It does not sit in the room recording a conversation and it does not draft a note from a patient encounter. If your practice wants an ambient scribe that listens to the visit, VoicePrivate is the wrong shape of tool. If you want the note you already compose in your head to reach the chart without a server in the path, it fits.
For general Windows dictation outside clinical work, VoicePrivate's Windows voice to text page covers the General Edition and the Win+H comparison in more depth. On Apple hardware, start with VoicePrivate's medical dictation for Mac page, and see the Healthcare Edition feature breakdown for the audit log, text shortcuts, and file import.
WINDOWS OPTIONS, SIDE BY SIDE
All three of these are medical dictation options on Windows, and the difference that matters is where the audio is recognized. VoicePrivate Healthcare Edition recognizes it on your PC. Dragon Medical One and Windows Voice Typing both send it out. Platform details were checked on 12 September 2026 against product documentation. Dragon pricing comes from reseller quotes and reviews cited underneath, rechecked 12 October 2026. For the on-device field beyond these three, including RadMyk for radiology and Dragon Professional, VoicePrivate compares Dragon Medical One alternatives that run on-device with sourced prices.
| What you are choosing | VoicePrivate Healthcare Edition | Dragon Medical One | Windows Voice Typing (Win+H) |
|---|---|---|---|
| Runs on | Windows 10 version 1903 or later, Windows 11, and macOS | Windows 10, Windows 11, and Windows Server. Microsoft's requirements page lists no macOS client. | Built into Windows 10 and Windows 11 |
| Where speech is recognized | On your PC, by a local model | On Nuance and Microsoft cloud infrastructure | Azure Speech services, per Microsoft's own documentation |
| Works with the network off | Yes, transcription is local | No, it is a cloud speech service | No. Microsoft states you need to be connected to the internet. |
| Clinical vocabulary | 74,000+ medical terms built in | Medical vocabularies and EHR voice commands | General dictation only |
| Price | $34.99 per month or $297 per year | $99 per provider per month on the one year term, $89 on two years, $79 on three | Included with Windows |
| Setup fee | None | $525 per user onboarding fee quoted by resellers | None |
| Best when | You want clinical vocabulary and the audio never leaves the machine | Your organization already runs Nuance and wants deep EHR voice control | You are writing general text, not patient notes |
Sources checked 12 September 2026: Dragon Medical One system requirements, Microsoft Learn (updated 25 June 2026), for supported operating systems. Dragon Medical One subscription and onboarding pricing as quoted by Nuance resellers and published reviews, rechecked 12 October 2026 (Nuance does not publish a list price). Microsoft support documentation for voice typing, for the internet requirement and Azure Speech services. Named vendors appear as market context. VoicePrivate pricing is the live price on VoicePrivate's own healthcare pricing page. For the full Dragon Medical One cost picture, including reseller quotes and term length, read VoicePrivate's Dragon Medical One cost guide. If you run a solo or 2 to 5 provider office, VoicePrivate's Dragon Medical buying guide for small practices covers what replaced Practice Edition and what each seat costs. To see who actually sells you the seat, VoicePrivate explains how the Dragon Medical One distributor and reseller channel works, from eDist to the certified reseller. For the ambient product Microsoft is moving those customers toward, read the Dragon Copilot pricing breakdown.
QUESTIONS CLINICIANS ASK
Medical dictation software turns a clinician's spoken words into typed text, so a note is spoken instead of typed. VoicePrivate Healthcare Edition does this on your own Windows PC or Mac, with 74,000+ medical terms built in, and types the result into whichever application holds keyboard focus. It is dictation, not a scribe: it does not record the visit or draft the note for you.
Doctors dictate through four routes: a recorder or phone line feeding a transcriptionist, cloud speech recognition such as Dragon Medical One, an ambient AI scribe that records the visit and drafts the note, or on-device dictation such as VoicePrivate Healthcare Edition, which types the note into the EHR as the doctor speaks and keeps the audio on the Windows PC or Mac. The right route depends on how fast the text has to appear and where the practice lets patient audio go.
VoicePrivate's guide to dictation for doctors sets those four routes side by side, with when the text appears and where the audio goes for each.
In practice, yes. Medical voice recognition, medical speech recognition and medical speech to text all describe software that turns spoken clinical language into written text. What differs between products is where the recognition runs, which vocabulary it knows and whether it also records visits. VoicePrivate Healthcare Edition runs recognition on your own computer with a 74,000+ term medical dictionary, and it does not record visits.
Medical speech recognition turns what you say into text. A cloud ambient scribe records the whole patient visit and drafts a note, and most send the audio to a vendor for processing. VoicePrivate is the first kind: you dictate, recognition runs on your computer, and nothing is sent to our servers.
It depends on where you are willing to let patient audio go. VoicePrivate Healthcare Edition fits clinicians who want recognition to stay on the Windows PC: it runs on Windows 10 version 1903 or later and Windows 11, includes 74,000+ medical terms, and needs no connection to transcribe. Dragon Medical One is the established Windows option if you want deep EHR voice commands and your organization accepts cloud processing at $99 per provider per month. Windows Voice Typing is free, but Microsoft states you need to be connected to the internet and that it is powered by Azure Speech services.
For general writing on a PC, Windows Voice Typing is already installed and costs nothing. For clinical work on a PC, VoicePrivate Healthcare Edition adds a 74,000 term medical dictionary, keeps the audio on the machine, and types into the EHR window you already have open. The practical split is free and cloud based, or paid and local.
HIPAA compliance is a property of your practice's whole setup, not a badge a dictation vendor hands you. A cloud dictation service receives, processes and transmits protected health information on your behalf, which makes it a business associate and puts a signed Business Associate Agreement on your list. VoicePrivate takes the other route: audio is recognized on your Windows PC or Mac and nothing is sent to VoicePrivate's servers, so no dictation vendor receives the protected health information. The EHR you type into stores the text under its own policies. Confirm your own obligations with your compliance counsel.
VoicePrivate's healthcare architecture page shows each step of that path, from microphone to local database.
On Windows the free routes are Voice Typing, opened with the Windows key and H, and the Dictate button in Word. Microsoft states that voice typing needs an internet connection and runs on Azure Speech services, and that Word dictation is for Microsoft 365 subscribers and sends your speech utterances to Microsoft. Neither is built for clinical vocabulary. On a Mac the free route is Apple Dictation, built into macOS, which has no clinical vocabulary either. VoicePrivate Healthcare Edition has no free tier: it is $34.99 per month or $297 per year, and individual plans include a 30-day money-back guarantee.
VoicePrivate's Mac medical dictation guide covers where Apple Dictation stops on clinical notes.
VoicePrivate types into whichever Windows application holds keyboard focus, so the note lands in the EHR text box already open in front of you, desktop client or browser portal. Nothing is installed on the EHR side and there is no plugin for IT to approve. What VoicePrivate does not do is write structured fields back into the chart the way an ambient scribe integration does.
Drug names are spelled the way you say them, and brand names such as Eliquis, Xarelto, Norvasc, Lasix and Coumadin are written correctly. Dose lines are tidied, so a dose is spaced as "10 mg" and "3x daily" and "for 7 days" are read as part of the dose. You can also say "insert vitals BP 120 over 80 heart rate 72 temp 98.6" and the values go into the blanks of your vitals shortcut. You still review every note before you sign it.
Yes. The Import button in the Personal Dictionary reads a Dragon word list (text or XML), a plain word list, a CSV or tab separated file, an Excel workbook (.xlsx) or a VoicePrivate export. You review the terms before anything is added, and importing never removes or overwrites a term you already have.
On a Mac you choose your specialty in Settings, Transcription, from 31 clinical specialties or General, and VoicePrivate then corrects a misheard word that is not a real word into a close term of your specialty. On Windows the selector is not shown and the full 74,000+ term medical dictionary is used.
No. There is no free trial and no free tier. VoicePrivate Healthcare Edition is $34.99 per month or $297 per year, bought now, and individual monthly and annual plans include a 30-day money-back guarantee. Email us within 30 days of your first payment for a full refund. Renewals and Team plans are not covered.
BY SPECIALTY
The 74,000 term dictionary in VoicePrivate Healthcare Edition is the same on Windows and Mac. Specialty choice is a Mac feature: in Settings, Transcription, a Mac user picks from 31 clinical specialties or General. On Windows the selector is not shown and the full medical dictionary is used. These pages cover how the dictation fits each specialty's documentation: the report structure, the vocabulary that trips up general speech engines, and where the notes get written.
Dictation is not only for the chart. Neurology practices comparing texting, phone automation and intake platforms can use VoicePrivate's neurology patient communications software guide to see which jobs those platforms cover and which letters and portal replies the neurologist still writes.
MAKE IT YOURS
Make your own voice commands. Pick a phrase, such as "sign off", and choose what it does: insert text, press Return or Tab, wait a moment, or insert a text shortcut, in order. Say the phrase on its own with the dictation shortcut and the steps run in the app you are typing in. Voice commands never open apps, websites or files, and they only run with Auto-paste on. They are included in your backups, and you can export them to a file and import them on another computer.
Edit & Teach. Fix a take in the main window with Edit & teach, then click Apply & Learn. VoicePrivate counts each correction toward the word you corrected, even when it was misheard differently each time, and a word you have corrected three times joins your Personal Dictionary. The Learning section of the Personal Dictionary shows the counts, and Forget removes one.
Bring your vocabulary with you. One Import button in the Personal Dictionary reads a Dragon word list (text or XML), a plain word list, a CSV or tab separated file, an Excel workbook (.xlsx) or a VoicePrivate export. You review the terms before anything is added, and importing never removes or overwrites a term you already have.
Vocabulary sets and team packs. Group names and terms per client and switch each set on or off in the Personal Dictionary, in Settings or from the menu bar. Terms in a set that is off are not used. Save chosen sets and shortcuts as a .vppack file, share it, and import it on another computer. You preview a pack before importing it, and Remove this pack takes out everything it added.
Terms from your documents. Pick files or a folder (.txt, .md, .docx and PDF) and VoicePrivate finds names, acronyms and unusual words to add to a set. PDFs are read on both Windows and Mac. Scanned PDFs and photos of documents (png, jpg, tiff, and heic on a Mac) are read with your computer's built-in text recognition, and terms found only on a scan are marked "from a scanned page". Reading happens on your device and nothing leaves it.
A Help Center with videos. Every feature has a step by step guide with examples for Healthcare, plus a Switching from Dragon section. Guides come with the app and work offline, and short help videos made for the Healthcare edition play inside the app for licensed users.
WHAT CLINICIANS KEEP REPEATING
We read what clinicians actually post. The same exhaustion and the same privacy dread keep coming up.
Hours of unpaid charting at home every night just to catch up.
More minutes in the EHR than with the patient in front of you.
It is not the patients. It is the endless clicking and typing afterward.
The whole encounter recorded and sent to a third-party server. Not every scribe works that way: Voti describes an offline, on-device medical scribe that turns the audio into text on the iPhone and says it never goes to a cloud transcription service.
All-party consent laws make cloud scribes a real legal risk.
You cannot tell if recordings are deleted or used to train a model.
A high monthly seat plus a steep implementation fee, for a cloud workflow.
Invented detail inside a legal medical record is terrifying.
A dropped connection mid-visit and that audio is simply gone.
Source: recurring themes across r/medicine, r/Residency, r/nursing, r/therapists, r/psychotherapy, and r/FamilyMedicine. Compiled 2026-06-04 from indexed thread titles and snippets. Direct Reddit fetches were blocked. No quotes were fabricated.
05 · ONE PRINCIPLE. FIVE EDITIONS.
Choose the language of your work. Local processing comes with every edition.
Ideas, emails, and everything in between.
$84 / year
For notes that deserve your full confidence.
$297 / year
For the work you hold in confidence.
$247 / year
For the details behind every client relationship.
$197 / year
For a complete record of the work you do.
$197 / year
FOR TEAMS
Contact us and we will give you a dashboard to administer all the licences for your practice. The administrator signs in with a link sent to their email, so there is no account or password to set up. The dashboard shows every licence on the practice and which computer uses it. If somebody leaves, release their seat or revoke their key, then issue a new key so the seat is reused by someone else.
YOUR NEXT WORD STARTS HERE
Progress notes. Referrals. Care plans.
Unlimited dictation. Local processing.
A subscription that fits your work.
$297 billed today, then yearly. 30-day money-back guarantee.
$297$34.99Unlimited on-device dictation
Mac and Windows
Drug and dose handling
Voice commands you make yourself
Personal dictionary, vocabulary sets and text shortcuts
Import your vocabulary from Dragon, Excel or CSV
Help Center with videos
Billed today. 30-day money-back guarantee.
BEFORE YOU BEGIN
Dragon Medical One is sold through resellers at $99 per provider per month on the one year term, plus a one time onboarding fee of $525 per user, as quoted by resellers and published reviews on 12 October 2026 (Nuance does not publish a list price). Ambient AI scribes are priced separately again: Freed lists $39, $79 and $104 per month. VoicePrivate Healthcare Edition is $34.99 per month or $297 per year, and the speech recognition runs on your own Windows PC or Mac.
Cloud dictation tools process patient audio on their servers, so they require a Business Associate Agreement. VoicePrivate processes all audio entirely on your device: no patient audio or dictation text is sent to VoicePrivate's servers, so you are not relying on a third-party BAA to protect patient data. Consult your compliance team to confirm fit for your specific workflow.
Microsoft's Dragon Medical One system requirements page lists Windows 10, Windows 11 and Windows Server only, with no macOS client, so Mac users reach it through Parallels or a Citrix desktop. VoicePrivate Healthcare Edition ships a native macOS build and a Windows build, both with 74,000+ medical terms and on-device processing.
Yes. All transcription runs locally on your device, so VoicePrivate dictates with no internet connection, including in facilities where connectivity is restricted or prohibited. Licensing, downloads and updates do use the internet.