The AI scribe that remembers
everything you can't afford to forget.
Stream writes your notes, organizes your chart by medical problem, and tracks every open loop — so you leave the office on time and sleep better at night.
You didn't go into medicine to spend
your evenings documenting.
Primary care carries the highest documentation burden in medicine. Complex patients, short visits, and a chart that was never designed for longitudinal care. Stream is built specifically for this.
Pajama time is stealing your life
The average primary care physician spends 2+ hours per day on documentation after clinic ends. That's time you're not getting back — unless the notes write themselves.
Open loops keep you up at night
The referral you sent but never heard back on. The abnormal lab that came back while you were seeing patients. The follow-up that slipped between visits. Primary care runs on trust that nothing falls through the cracks.
Every visit starts with re-reading your own chart
Your patient has 8 active problems and you have 12 minutes. Flipping through past notes to remember where you left off isn't clinical care — it's archaeology.
"Primary care is the only specialty where you're expected to manage thirty chronic conditions, coordinate care across ten specialists, and document everything — in twelve minutes. The EHR was never built for that. Stream is."
Designed around how primary care actually works.
Not how the EHR thinks it works.
Walk in knowing exactly where you left off.
Stream's problem-oriented chart gives you an instant summary of every active problem before the patient walks in. Medications, recent changes, open tasks, last assessment — all organized by problem, not buried by date. Pre-charting takes seconds, not minutes.
Coming soon: Clinical Readiness view — a pre-visit brief that surfaces what matters most for today's encounter.
Speak naturally. Stream handles the rest.
Record your encounter or dictate as you go. Stream transcribes in real time, structures the note by problem, and updates your chart automatically. Your voice sets the context — Stream writes the note, suggests the codes, and generates the follow-up tasks.
Supports 22 languages. Works ambient or with direct dictation. Customizable templates for your documentation style.
Leave the office with nothing hanging over you.
Every task is captured, every loop is tracked, every referral is documented. Stream generates your follow-up list automatically from the note — so the last patient of the day gets the same attention as the first.
Coming soon: referral loop tracking and inter-office communication — so you always know what happened after the handoff.
Every feature earns its place in a primary care day.
Problem-Oriented Chart
Every encounter updates a living chart organized by medical problem — hypertension, diabetes, back pain, all of it. Pick up exactly where you left off, every time.
Real-Time AI Scribe
Ambient recording or direct dictation. Stream writes a complete, structured note while you focus on your patient — not your screen.
Automatic Task Tracking
Follow-up tasks are extracted from every note automatically. Labs to recheck, referrals to send, medications to review — nothing gets lost between visits.
ICD & CPT Coding
Diagnosis and procedure codes suggested at the point of care. Capture the right codes without slowing down or switching screens.
External Record Ingestion
Import outside records — fax, PDF, or upload. Stream summarizes and links them to the relevant problem so outside information becomes part of your chart, not a separate attachment.
Customizable Templates
Build note templates that match your style, your specialty, and your EHR's requirements — or use our primary care defaults and start in minutes.
Built by physicians. Trusted by clinicians.
Real feedback from practicing primary care clinicians.
"River Records is a lifesaver. It slashes my documentation burden and boosts productivity in primary care."
"Stream focuses on the entire patient — perfect for DPC where progress matters more than individual encounters."
"River Records' approach to clinical documentation matches how we think clinically. I love the concept."
$59/month for your first year.
Unlimited visits. Works with any EHR. 30-day free trial, no credit card required.
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Built for the way primary care actually works.
Not the way the EHR thinks it does.
Start your 30-day free trial. No credit card. Works with the EHR you already have.
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