The AI scribe built for
continuity, not encounters.
In DPC, you're not billing encounters — you're managing relationships over years. Stream organizes every visit by medical problem into one longitudinal chart, so a patient's progress stays visible across time instead of scattered across a stack of disconnected notes.
Most AI scribes are built for
the fee-for-service encounter.
Record a visit, generate a note, move on. But direct primary care runs on continuity — you see the same patients for years, and your value is measured in progress over time. The chart, not the individual note, is the asset.
A per-visit note ignores the relationship
The typical scribe records an encounter and spits out a clean note. DPC doesn't bill encounters — it runs on continuity. A note per visit helps the visit and leaves the relationship unmanaged.
Progress lives across years, not one note
The A1c trend you've been chasing, the taper that finally worked, the goal you've moved toward over many visits. In a stack of disconnected documents, that thread disappears exactly when it matters.
You end up managing the project by hand
Every patient is a longitudinal project — an evolving problem list, open tasks, a plan that changes. A scribe that only writes notes leaves you to track all of it yourself.
"Primary care is a project management specialty. Every patient is a longitudinal project — an evolving problem list, open tasks, and a plan that changes over time. A scribe that just hands you a clean note per visit still leaves you to manage the project by hand. Stream is built to manage the project."
Designed around the way DPC actually works.
Continuity first — because that's where the value is.
Walk into every visit prepared.
Five minutes before a visit, Huddle surfaces what's active, what's been falling off your radar, and what needs attention — drawn from the patient's whole history, not just the last note. Ideal for the deeper, less-rushed visits DPC is built around.
Built for the longer, relationship-driven visits that define direct primary care.
See one problem across the whole relationship.
Open any problem and view every Assessment & Plan you've written for it over time, plus an on-demand recap of how it's evolved. After a year of memberships you have a living problem list — not 400 disconnected documents. This is the longitudinal view DPC clinicians actually practice in.
Pastes into any EHR today. Native integrations are rolling out — Elation first, then Athena.
Nothing slips between visits.
Follow-ups, pending labs, and overdue screenings are extracted from every visit automatically and tied to the problem they belong to. Outside records — a consult PDF, free text, or a fax — get summarized and filed under the right problem: two lines instead of twenty pages.
Coding when you want it: ICD, CPT, and HCC capture suggestions at the point of care.
Every feature earns its place in a continuity practice.
Problem-Oriented Chart
Every visit's Assessment & Plan is filed under the relevant medical problem, so after a year of memberships you have a living problem list — not 400 disconnected documents.
Pre-Visit Huddle
Five minutes before a visit, Huddle surfaces what's active, what's been falling off your radar, and what needs attention — perfect for the deeper visits DPC is built around.
Timeline + Recap
Open any problem and see every A&P you've written for it over time, plus an on-demand recap of how it's evolved. The longitudinal view DPC clinicians actually practice in.
External Record Ingestion
Upload a consult PDF, paste free text, or take in a fax. Stream summarizes it and files the relevant pieces under the right problem — two lines instead of twenty pages.
Automatic Task Tracking
Follow-ups, pending labs, and overdue screenings are extracted from every visit and tied to the problem they belong to — so nothing falls through between visits.
Coding When You Want It
ICD, CPT, and HCC capture suggestions at the point of care — useful if your DPC practice still bills insurance for some services or wraps in value-based arrangements.
Built by physicians. Trusted by DPC clinicians.
Real feedback from practicing clinicians.
"Stream focuses on the entire patient — perfect for DPC where progress matters more than individual encounters."
"River Records is a lifesaver. It slashes my documentation burden and boosts productivity in primary care."
"River Records' approach to clinical documentation matches how we think clinically. I love the concept."
$149/month. Start free.
Unlimited visits. Works alongside any EHR. 30-day free trial, no credit card required.
Start free for 30 daysMulti-provider DPC clinics can ask about per-seat Clinic pricing with volume discounts.
Frequently asked questions
Is Stream a good fit for a membership / DPC practice?
Yes. DPC is built on long-term continuity, which is exactly what Stream's problem-oriented, longitudinal chart is designed for. It keeps each patient's evolving problem list, history, and open tasks organized across years of visits.
Does Stream work with DPC-friendly EHRs?
Stream pastes into any EHR and can also work as a standalone documentation layer. Native integrations are in development, starting with Elation and then Athena.
Does Stream handle coding for DPC practices that bill insurance?
Yes. ICD, CPT, and HCC capture opportunities are suggested at the point of care, so the practices that need coding have it, and those that don't can ignore it.
Is my patient data used to train AI models?
No. Stream is fully HIPAA compliant, signs a BAA with every subscriber, encrypts data in transit and at rest, and never trains its models on your patient data.
Built by practicing physicians. Published in JAMA Network Open. Read the research →
Built for the way DPC actually works.
Over years, not visits.
Start your 30-day free trial. No credit card. $149/month after trial. Works alongside any EHR.
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