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How It Works Features
Specialties
Primary Care SNF & Long-Term Care About Pricing FAQ Log In Start Free Trial →
AI built by clinicians, for clinicians · 5 peer-reviewed publications

Reimagine
Medical Documentation.

Stream is your AI scribe and clinical assistant — organized by medical problem, not by date. Faster notes today. A smarter chart tomorrow.

No credit card required
30-day free trial
$149/month after trial
HIPAA Compliant
Founded by practicing physicians
Stream — Margaret T., 58F · Problem-Oriented Chart
Trusted by internists, pediatricians, and SNF clinicians
Works alongside any EHR
30-day free trial
HIPAA Compliant
Built by primary care physicians

Every feature designed to save minutes now and hours later.

Stream combines a real-time AI scribe with a problem-oriented chart that builds longitudinal context across every encounter.

Step 01

Speak naturally. Stream generates the note.

Record your encounter or dictate a quick update — Stream transcribes, structures, and writes a complete note in real time. Your voice sets the context; Stream does the rest.

Supports 22 languages. Works ambient or with direct dictation. Customizable templates for your specialty.

Recording in progress
Live Transcript
↓ Generating SOAP note…
Step 02

Every visit organized by medical problem — not by date.

Stream doesn't just create a note. It updates your patient's problem list with each encounter, connecting history, assessments, and plans per condition.

No more re-reading six past notes to find when the metformin dose changed. It's right there, under the problem.

Problem List
Step 03

Tasks, coding, and admin handled automatically.

Follow-up tasks are generated from every note. ICD and CPT codes are suggested at point of care. External records are imported, summarized, and linked to the relevant problem.

From referral letters to prior auth — Stream reduces the busywork so you can focus on what matters.

Auto-Generated Tasks
Step 04

Instant summaries — no more re-reading old notes.

Need to prep for a visit or hand off a patient? Stream generates a per-problem summary from the full encounter history. One tap, complete context.

Perfect for pre-visit prep, specialist referrals, and care transitions.

Problem Summary

All the tools to run a modern clinical practice.

One subscription. No usage caps. Every feature built around the way primary care actually works.

🎙️

Real-Time AI Scribe

Ambient recording or direct dictation. Transcribes and structures notes as you speak — in 22 languages.

🗂️

Problem-Oriented Organization

Every encounter updates a living, problem-organized chart. Context persists across visits.

📋

Patient & Problem Summaries

One-tap summaries for any problem or patient — perfect for chart review, handoffs, and pre-visit prep.

📁

External Record Ingestion

Import outside records — fax, PDF, or upload. Stream summarizes and links them to the relevant problem.

Automatic Task Generation

Follow-up tasks are extracted from each note automatically. Nothing falls through the cracks.

💻

ICD & CPT Coding Support

Diagnosis and procedure codes suggested at point of care. Accurate codes without slowing down.

📝

Customizable Templates

Build note templates to match your workflow, specialty, and documentation style.

Quick Encounter Mode

Streamlined capture for brief check-ins, refills, and follow-ups. Speed when you need it.

🔒

Security & Privacy

HIPAA compliant. Built-in BAA. Encrypted at rest and in transit. We never train on patient data.

Why we built Stream
"Primary care is a project management specialty. Every patient is a longitudinal project — with an evolving problem list, open tasks, and a plan that changes over time. We built the tool to manage it."
Meet the team →

Built by physicians. Trusted by clinicians.

From family practice to behavioral pediatrics, DPC to academic medicine.

★★★★★
"Stream focuses on the entire patient — perfect for DPC where progress matters more than individual encounters."
AB
Anatoli Berezovsky, MD
Owner & CEO, Mila Family Health
★★★★★
"I can review and reuse information from previous visits inside Stream — creating a more comprehensive note every time."
DK
Donna Kirchoff, MD, FAAP
Integrative Developmental & Behavioral Pediatrics
★★★★★
"River Records' approach to clinical documentation matches how we think clinically. I love the concept."
SD
Spencer Dorn, MD
Vice Chair & Professor of Medicine, UNC
★★★★★
"A game-changer for voice-to-text and documentation. Zero errors so far, and polished notes in minutes."
SW
Stephen P. Wood, DMSc, ACNP
Northeastern University
★★★★★
"I've gone from writing in the dirt to writing Rolls Royce quality."
AC
Allen Coffman, MD
Highland Pediatrics

Simple, transparent pricing.

One flat rate. Unlimited visits. No usage caps. Cancel any time.

Founded by physicians. Validated by research. Published in JAMA Network Open, JMIR, and Applied Clinical Informatics. Read our research →

Clinic Plan
For multi-provider practices needing team collaboration and admin controls.
Custom
Reach out to discuss your clinic

Best for group practices, FQHCs, DPC clinics, and multi-provider independent practices.

Per-seat pricing with volume discounts available for larger teams.

  • Everything in Individual Plan
  • Team-based collaboration & shared templates
  • Role-based permissions & admin controls
  • Bulk patient panel upload
  • Periodic workflow optimization reviews
  • Custom onboarding & dedicated support
  • Support roles for admin / ancillary staff
Contact Sales
We'll respond within one business day

Everything you need to know.

Still have questions? Reach out →

Stream listens to your encounter (or you can dictate), transcribes it in real time, and generates a structured clinical note. Each note also updates the patient's problem-oriented chart — so context, tasks, and history are always organized by medical problem, not buried by date.
Yes. Stream works alongside any EHR — Athena, Epic, Elation, DrChrono, and others. You copy your note into your EHR, or use Stream as your standalone documentation layer. Native integrations are in development for Elation first, then Athena.
Absolutely. Stream supports fully customizable note templates. Configure structure, sections, and formatting to match your specialty, your EHR's requirements, or your personal style.
Yes. Stream is fully HIPAA compliant. We sign a Business Associate Agreement (BAA) with every subscriber. All data is encrypted at rest and in transit. We never train our models on your patient data.
Stream was built by a team of practicing physicians with peer-reviewed research on exactly this problem — why the note-based paradigm fails, and what to do about it. Most AI scribes generate a note and stop there. Stream builds a problem-oriented chart over time — organizing every encounter, task, and imported record by medical problem. At 6 months, your Stream chart is a living clinical record.
Stream is $149/month per user, billed monthly. Annual billing is available at $99/month ($1,188/year). Every plan starts with a 30-day free trial — no credit card required. Cancel anytime.

Your chart should get smarter
with every visit.

Start your 30-day free trial. No credit card. $149/month after trial. Works alongside any EHR.

Questions? [email protected] · We respond same day.