AI documentation for real clinical workflows

Stay with the patient.Leave with the note.

DocuMD turns the natural conversation into a structured clinical note, coding suggestions, and clear patient instructions—ready for you to review.

No credit card2 free recordings dailyWeb & iOS
Private session

Live encounter

Follow-up visit

Physical therapy · 09:42

Listening09:42
D

Dr. Patel

How has the shoulder felt since we changed your exercises?

P

Patient

Better overall. I still feel pain when I reach overhead, but it is down to a three.

D

Dr. Patel

Draft note

SOAP note

Review needed
Saved
Subjective

Patient reports improved right shoulder pain, now 3/10. Pain persists with overhead reaching.

Assessment

Symptoms improving with current home exercise program. Overhead mobility remains limited.

Plan

Continue home program. Add resisted external rotation.

Required sections complete3 / 3
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HIPAA-ready infrastructure
Clinician review stays in the loop
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A quieter workflow

Less screen time during the visit.

Documentation should follow the conversation—not control it. DocuMD keeps the workflow simple from first word to final review.

You stay in control. Every AI-generated note and suggestion is clearly presented for clinician review.

See how we protect your data
01

Listen

Start the visit and speak naturally. DocuMD separates speakers and captures clinical detail in context.

02

Structure

Choose the format your workflow needs—from SOAP and H&P to BIRP, DAP, and custom templates.

03

Review

Edit the draft, resolve highlighted gaps, and review suggested ICD-10 and CPT codes before signing.

Ready to review, edit, and exportTry the workflow

One conversation, connected outputs

See the visit come together.

Explore how one encounter becomes the documentation your team and patient need.

Structure

Your preferred note format, not a wall of text.

Turn the same conversation into a focused note with the sections, terminology, and level of detail your practice expects.

Try it with a real visit
Sample encounter
Auto-saved
SOAP note
Copy note

Subjective

Patient reports reduced resting pain. Pain persists with overhead reaching. Denies numbness or tingling.

Assessment

Right shoulder symptoms improving with current program; overhead mobility remains limited.

Plan

Continue home exercise program. Add resisted external rotation. Reassess next visit.

Example content is illustrative. All generated documentation and code suggestions require clinician review.

Your format, your voice

Built around the way you already document.

Start with a proven note structure or adapt a template to match the language, order, and detail your practice uses.

Custom practice templates are available on DocuMD Pro.

SOAP

Everyday clinical encounters

H&P

Admissions and consults

BIRP

Behavioral health sessions

DAP

Concise therapy documentation

PIRP / GIRP

Problem- or goal-focused care

Progress notes

Ongoing treatment updates

Discharge summaries

End-of-care documentation

After-visit summaries

Clear patient takeaways

Documentation intelligence

A second pass before you sign.

DocuMD doesn’t just format the note. It helps surface missing details, suggested codes, and follow-up tasks so you can review the full picture in one place.

Missing-detail checks

See where a required clinical detail may be absent.

ICD-10 & CPT suggestions

Review suggested codes next to supporting documentation.

Medication extraction

Pull medication, dose, and allergy details from the encounter.

Follow-up capture

Collect referrals, orders, and next steps in one place.

Review a sample note

Pre-sign review

3 items to review

Draft

Duration not documented

Needs input

Add total treatment time to support the procedure selection.

Add detail

M25.511 suggested

Supported

Right shoulder pain is documented in the subjective and assessment.

Follow-up captured

Ready

Reassess overhead mobility at the next scheduled visit.

Continue to note

Code suggestions are decision support, not billing advice. All AI-generated content must be reviewed and approved by the clinician.

Coming soon

Pilot

Authorization-ready documentation

Help your staff gather supporting chart details and prepare prior-authorization packet drafts for review.

Join the pilot

Pilot features prepare drafts for staff review and do not submit requests automatically.

Straightforward pricing

Start with a visit, not a sales call.

Explore the free experience, then upgrade when DocuMD becomes part of your day.

Free

$0forever

Try the workflow with short notes before you commit.

  • 2 recordings per day
  • Up to 5 recordings total
  • 30-minute recording limit
  • Basic transcription in the web app
  • No account or credit card required
Try DocuMD free
Daily use

DocuMD Pro

$89per month

For clinicians who want DocuMD in their daily workflow.

  • Unlimited recordings and duration
  • Structured clinical note formats
  • Speaker identification
  • ICD-10 and CPT suggestions
  • In-app clinical editing
  • HIPAA-ready infrastructure and audit logs
  • Priority clinical support
Start with Pro

Pricing shown in USD. AI-generated content and coding suggestions require clinician review.

Your next note can be easier

Be present for the visit. We’ll help with what comes after.

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