DocuMD listens to the encounter and drafts the clinical note, suggested ICD-10 and CPT codes, and the patient's instructions. You review, edit, and sign. The documentation follows the conversation instead of interrupting it.
Start the recording, pick the note structure your practice already uses, and review the draft before you sign it.
Start the visit and speak normally. DocuMD separates speakers and captures clinical detail in context. Nothing about the conversation changes.
The same encounter becomes the note format you actually use, with the sections, terminology, and level of detail your practice expects.
Edit the draft, resolve anything flagged as missing, and look over the suggested ICD-10 and CPT codes next to the documentation supporting them.
Start from a standard structure or adapt a template to match the language and order your practice uses. Custom practice templates are a Pro feature.
Everyday clinical encounters
Admissions and consults
Behavioral health sessions
Concise therapy documentation
Problem or goal focused care
Ongoing treatment updates
End of care documentation
Clear patient takeaways
DocuMD does more than format the note. It surfaces what may be missing and puts the supporting documentation next to every suggestion, so the review is one pass instead of three.
See where a required clinical detail may be absent before the note is signed.
Review each suggested code beside the documentation that supports it.
Pull medication, dose, and allergy detail out of the encounter.
Collect referrals, orders, and next steps in one place.
Templates, terminology, and workflow shaped around the care you actually provide.
Turn everyday visits into complete SOAP and progress notes with suggested ICD-10 and CPT codes.
Handle complex, multi-problem visits with complete documentation and coding suggestions.
Turn therapy conversations into structured BIRP, DAP, GIRP, or SOAP notes in your preferred language and format.
Document medication management visits and psychiatric evaluations with structured, reviewable notes.
Document exams, injections, and post-op visits with precise musculoskeletal terminology.
Capture evaluations, daily notes, and progress reports while keeping your hands on the patient.
Try the workflow at no cost. Move to Pro when DocuMD becomes part of your day.
We would rather you read this before you record anything than after.
DocuMD is built to support HIPAA-compliant workflows. Protected health information is handled on infrastructure configured for healthcare workloads. HIPAA compliance is a shared responsibility: your practice remains responsible for its own policies, workforce training, and patient consent.
Audio, transcripts, and clinical notes are encrypted in transit using TLS and encrypted at rest. Recordings are encrypted from the moment they are captured.
Recording a patient encounter requires consent under applicable state and federal law. The clinician remains responsible for obtaining and documenting that consent before recording.
Access is restricted to the authenticated account that created the data, activity is logged for audit purposes, and you decide what to keep. Individual recordings and notes can be deleted at any time, and full account deletion can be requested.
Clinical data is used to deliver transcription and note generation for your own account. It is not used to train models for other customers without explicit consent.
Customer data is hosted in secure cloud data centers located in the United States. A current list of subprocessors is available from DocuMD on request.
A Business Associate Agreement is available from DocuMD on paid plans, by request, and it should be executed before any protected health information is processed. The free tier is a way to see how the workflow feels, not a way to document live patient encounters. Put the BAA in place first. If your compliance team needs something specific that the published documentation does not cover, ask us and we will take it to DocuMD directly.
Free to try, running in your browser. See what the draft looks like on a visit you would have documented anyway.