Mac-native medical dictation
Your dictation. Your vendors. Your Mac.
DirectScribe turns your spoken notes into your own templates, ready to paste into your EMR — using the transcription and intelligence vendors you choose, with the keys and the files kept on your Mac.
For solo outpatient primary-care physicians in Canada. Only the physician's voice is ever recorded — never the patient.
SUBJECTIVE
52M, follow-up for hypertension. Feeling well, no chest pain or dyspnea. Adherent to amlodipine.
OBJECTIVE
BP [BLOOD PRESSURE], HR 72, regular. Chest clear.
ASSESSMENT
Hypertension, adequately controlled.
PLAN
Continue current dose. Recheck in 3 months. Labs ordered.
What it does
A quiet tool that does one job well
Dictate the visit, shape it into your note, paste it into your EMR. No ambient recording, no lock-in, no server holding your patients' data.
Dictate to your template
Speak the encounter; DirectScribe molds it into your SOAP note, periodic health exam, or referral letter — then you review and paste it into your EMR.
Bring your own vendors
Choose your transcription and intelligence vendors and pay them directly. Your API keys live in the macOS Keychain — there is no DirectScribe account and no DirectScribe server.
Retention on your schedule
Keep notes for 7, 30, or 90 days — or clear a whole session the moment it is safely in your EMR. Every deletion is recorded.
A transparent audit log
Every send to a vendor and every deletion is written to a tamper-evident, PHI-free log you can show a privacy reviewer.
Built by a physician
Designed by a practising physician for the realities of a solo outpatient clinic — not by a hospital IT department for one.
Offline licensing
A license key validated on your Mac — not an account. No sign-in, and no server that can lock you out in the middle of a clinic.
Precise about locality
What runs where
We describe "local-first" precisely. Your files, templates, keys, and audit log live on your Mac. But at launch, turning speech into text always uses a cloud transcription vendor you choose — so we say so plainly instead of implying that your audio is processed only on your Mac.
The one step that can run entirely on your Mac today is note-shaping, if you run a local model with LM Studio.
| Step | Runs |
|---|---|
| Recording your voice | On your Mac |
| Transcription (speech → text) | Your chosen cloud vendor |
| Note-shaping (text → your template) | Your chosen vendor — or fully local with LM Studio |
| Templates, keys, notes, audit log | On your Mac |
Security by design
The design is the security story
Not a bolt-on. The product is shaped so that the sensitive data has nowhere unexpected to go.
- Only your voice is recorded DirectScribe records the physician's voice for dictation. It is not an ambient scribe — the patient is never recorded.
- No DirectScribe servers Your PHI never touches our servers, because there are none. You send it straight to the vendors you chose.
- Keys in the macOS Keychain API keys are stored by the system Keychain, never in plain files and never in the cloud.
- Sandboxed app DirectScribe runs in the macOS App Sandbox with least-privilege access to your system.
- Deletion on your schedule Session-end and 7/30/90-day sweeps remove recordings, transcripts, and notes on the schedule you set.
- Tamper-evident audit log A hash-chained, sequence-checkpointed record of every transmission and deletion — PHI-free by design.
- Offline licensing A license key validated on your Mac. No account, no sign-in, no server that can lock you out.
Deletion, stated honestly
Deleted means deleted from the file system on your schedule; FileVault protects residual storage; backups you configure may retain copies. We don't claim data disappears from every disk — we tell you exactly what deletion does, and the audit log proves the action.
Try it for seven days
Set up your vendor API keys first so your trial days aren't spent during signup — then start your 7-day trial. No account, and you can cancel any time by simply not renewing.