Family Medicine Dictation for Practices
Where Everything Is Sensitive
Family medicine PHI is uniquely broad. One chart can hold mental health screening, substance use history, sexual health, reproductive decisions, and social determinants - all from a single visit. Cloud dictation sends all of it to a vendor server. VoicePrivate keeps it on your device.
Why primary care PHI requires
more privacy protection, not less
The documentation burden is highest in primary care - and the data is among the most sensitive in medicine.
The data that leaves your device
- Mental health diagnoses and treatment discussions
- Substance use history and MAT treatment notes
- Sexual health, STI testing, and PrEP management
- Reproductive health and family planning discussions
- Social determinants: housing, food insecurity, domestic safety
On-device processing keeps all of it local
- All audio processed on your Mac or Windows device
- Nothing transmitted to any vendor infrastructure
- Mental health, SUD, and sexual health vocabulary built in
- Works with any primary care EHR - no integration needed
- No cloud uploads - no data sharing occurs
How family medicine physicians use it
Primary care physicians across practice settings
- Family medicine physicians in solo and small group practice
- General internists managing large chronic disease panels
- Primary care physicians doing telehealth and in-person hybrid practice
- Direct primary care (DPC) physicians with high documentation efficiency needs
- Rural primary care physicians without enterprise IT support
- Physicians integrating behavioral health into primary care visits
Through a primary care clinic day
- Between patients: dictate visit note into EHR while walking to next room
- Annual wellness visit: voice macros populate standard sections, then customize
- Mental health visit: dictate PHQ-9 interpretation and treatment plan privately
- Chronic disease follow-up: dictate A1c response, medication change, and plan
- Afternoon: clear any remaining notes at the workstation before leaving
- No "pajama time" - complete documentation before the last patient leaves
Every note type in primary care
documented with the right vocabulary
Depression, anxiety, and behavioral health integration
PHQ-9 and GAD-7 score interpretation, Columbia Suicide Severity Rating Scale language, safety planning documentation, psychiatric medication management, and referral coordination notes. All of this content stays local - not on a vendor's server.
AUDIT, DAST, and MAT documentation
AUDIT-C and DAST screening scores, brief intervention language, buprenorphine induction and maintenance notes, naltrexone treatment documentation, and PDMP review language. Substance use documentation has federal confidentiality protections - keeping it local matters.
Diabetes, hypertension, and COPD follow-up
A1c trends, blood pressure response to medication changes, inhaler technique assessment, COPD exacerbation documentation, and chronic kidney disease staging notes. Medication names, dosing adjustments, and side effect monitoring documentation all covered.
Annual wellness visits and health maintenance
AWV components, preventive screening documentation (colonoscopy, mammography, cervical cancer screening), immunization discussion notes, and advance directive conversations. Voice macros for standard AWV sections dramatically reduce per-visit documentation time.
STI screening, contraception, and PrEP
STI testing discussion and counseling documentation, contraceptive method counseling, PrEP initiation and monitoring, and reproductive health visit notes. These conversations between patient and physician deserve local processing - not cloud storage.
SDOH screening and community referral notes
Housing instability, food insecurity, transportation barriers, domestic safety screening (HITS, SAFE), and social isolation documentation. SDOH data is among the most sensitive primary care information - documenting it with a cloud tool creates a data trail that patients may not expect.
VoicePrivate vs. cloud dictation tools for primary care
| Feature | VoicePrivate | Dragon Medical One | Freed (AI scribe) |
|---|---|---|---|
| Audio stays on device | ✓ Always | ✗ Cloud (Microsoft) | ✗ Cloud |
| Works offline | ✓ | ✗ | ✗ |
| Mental health and SUD vocabulary | ✓ Included | Medical vocabulary | AI-generated output |
| BAA required | No - no data sharing | Yes | Yes |
| Works on Mac | ✓ | ✗ Windows only | Web-based |
| No IT contract required | ✓ | ✗ Enterprise licensing | ✓ |
| Monthly cost | $34.99/mo | $99+/mo | $99/mo |
Competitor pricing based on publicly available information. Subject to change.
Works on any computer
in your practice
Mac - Apple Silicon
M1 through M4. Neural Engine acceleration. macOS 13+. Fast enough for between-patient documentation.
Mac - Intel
Intel Core i5 and above. CPU-based inference. macOS 13+. Fully supports primary care documentation volume.
Windows
Windows 10 and 11, 64-bit. Works on clinic workstations and personal laptops for post-shift documentation.
Any EHR
Types into Epic, Athenahealth, eClinicalWorks, Practice Fusion, and any primary care EHR with text fields.
Pricing for family medicine practices
No credit card required. Full primary care vocabulary included in all plans.