Best Free Clinical Documentation Software of 2025

American EMR, a cloud-based software for electronic medical records and practice management, is designed for healthcare providers. The software provides customizable templates, appointment schedulers, inventory management, portals for patients, and financial reports to streamline clinical workflows. Its intuitive interface is designed to increase efficiency, reduce mistakes, and provide a tailored medical experience across specialties.

Diagnosis Pad is a private AI on-device that generates diagnoses, guidance and clinical notes in real time. Privacy All AI processing is done offline, on your device. For maximum privacy, no data is sent online. How to Use Tap Start Session and the device will begin to transcribing and processing your session. Diagnosis As the session progresses the top three diagnoses are generated. You can examine these in depth to understand why they are being suggested for your context. Recommendations The top three recommendations can also be expanded to include more detail. Notes The session ends with a summary of the transcript. The following are the most effective ways to reduce your risk of injury. You can choose to generate the diagnosis, recommendations and note in real-time or after the session.

We assist you in achieving your objectives by minimizing expenses, enhancing clinical results, lowering readmission rates, and boosting revenue streams. Amplify your income through mobile charge capture, efficient clinical documentation, medical billing, and optimizing revenue collection with our state-of-the-art technology tailored specifically for healthcare professionals. With MediMobile®, you can conveniently arrange your rounds and appointments in advance or spontaneously, utilizing your handheld device or any internet-enabled browser. You have the flexibility to organize your rounds and appointments based on various criteria such as location, date, room number, or provider name, and you can also collaborate seamlessly with colleagues in your practice. The platform is fully customizable to adapt to your unique preferences. MediMobile® provides an extensive array of reporting features suitable for both beginner users and seasoned data analysts. Furthermore, MediMobile®’s intelligent technology integration engine facilitates real-time connections with hospital systems, patient management software, and billing solutions, ensuring a streamlined workflow that enhances efficiency and effectiveness in healthcare delivery.

StoriiCare is a software platform that supports assisted living providers, adult care centers, and care homes. It is used to record, record, and improve the quality of care. It allows care staff to digitally record their care. This provides oversight and reduces industry inefficiencies. StoriiCare connects families with their loved ones, allowing them and their loved ones to share in their care and be updated about events.

Utilizing Synoptec for report generation significantly reduces the time needed compared to the traditional dictation, editing, and sign-off process, as well as typing in a word processor. Research indicates that synoptic reporting delivers faster and more precise results consistently, outpacing narrative transcription. Our extensive video library is available for you to explore, along with downloadable premium ebooks that outline the distinct advantages of synoptic reporting over traditional methods. When you're ready to dive deeper, feel free to reach out with any questions through email, phone, or our live chat feature—we're also happy to arrange a live demonstration at your convenience. Studies comparing synoptic and narrative reporting have revealed that synoptic reports not only enhance accuracy and completeness but are also timelier and more cost-effective. Additionally, this method demands less time from clinicians, and the end reports are favored by other members of the care team due to their clarity and consistency, leading to improved communication and patient outcomes. Overall, synoptic reporting represents a modern approach to healthcare documentation that benefits all parties involved.

Saince’s dictation and transcription solution offers significant advantages to physician practices, Integrated Delivery Networks (IDNs) in hospitals, and Medical Transcription Service Organizations (MTSOs) of varying sizes. Our technology adheres to HIPAA regulations and features versatile dictation methods, cutting-edge speech recognition capabilities, efficient workflow management, integrated productivity tools, and automated document distribution. We have seamlessly connected our platform with all major Electronic Health Record (EHR) systems, such as Epic, Cerner, MediTech, CPSI, AllScripts, NextGen, and eCW, among others. Uniquely, our platform is the only one that offers front-end speech recognition directly within the transcription interface. Physicians seeking to utilize front-end speech recognition for their clinical documentation have immediate access to this feature. Moreover, should they decide to switch to traditional back-end transcription while drafting a report, they can easily do so with just a straightforward voice command, enhancing their workflow flexibility. This adaptability not only streamlines the documentation process but also empowers healthcare providers to choose the method that best suits their needs at any point in their reporting.

Carepatron is a community-driven scheduling platform for healthcare providers and their clients. They believe that healthcare teams play an important role in our communities, but they often don't have the scheduling tools they need for better mental health outcomes. They rely on legacy software, low-quality scheduling tools, and manual processes to make ends meet. Carepatron believes that bringing together clients and practitioners in one platform for collaborative therapy is the best way to improve your health. Carepatron offers a basic plan for free, while the professional plan is $12/month. A business account is also available. Key features Online scheduling Calendar sync Recurring appointments Reminders via SMS and email Integration of Facebook and website calendars Telehealth tool that integrates fully Documentation, medical notes, and health records Payment processing HIPAA certified

Transform every dialogue into clinical documentation seamlessly. Abridge stands out as the premier solution tailored for expansive health systems, offering robust generative AI, seamless connections with leading EHRs, and a convenient app designed for patient engagement. This innovative platform enables healthcare professionals to prioritize patient care while simultaneously enhancing the quality and speed of their notes. Our extensive integration with prominent EHRs, including Epic, is complemented by more accessible HL7 alternatives. Boost your operational efficiency by linking directly to our API. With a commitment to HIPAA compliance and adherence to industry standards, we ensure the utmost protection of patient data. Abridge's pioneering research led to the introduction of the first AI system capable of generating comprehensive SOAP note drafts, setting a new benchmark in the field. Discover how our machine learning technology prioritizes the safety of both providers and patients by emphasizing key aspects such as causality, fairness, and transparency. Additionally, Abridge features a highly rated consumer app that empowers patients to manage their health proactively. Embrace the future of healthcare documentation with Abridge as your trusted partner.

Doxer.io is a cloud-driven system for managing medical records that aims to enhance healthcare practices by bringing together various tools to improve patient care efficiency. The platform provides customizable templates that facilitate the quick and straightforward documentation of medical appointments, alongside an online calendar and notification system, as well as additional resources for optimizing healthcare provider operations. Key features include charting capabilities, secure telehealth options for video consultations, and patient management tools that allow for effective tracking of treatment and progress. Users can benefit from personalized templates created through an intuitive drag-and-drop interface, a web-based calendar for scheduling appointments, and a centralized online dashboard that consolidates clinical information for easy access. Doxer.io prioritizes user-friendliness, requiring no prior training for setup, making it adaptable for practices of any size, enabling rapid form creation, and ensuring robust security for patient data through 256-bit SSL encryption and comprehensive end-to-end infrastructure encryption. The cloud-based nature of Doxer.io also ensures that healthcare professionals can access the system from virtually anywhere, enhancing flexibility in managing patient care.

AutoNotes is an innovative clinical documentation solution powered by AI, aimed at simplifying the development of various therapeutic notes and treatment outlines. With a variety of customizable templates for progress notes, assessments, and treatment plans, it facilitates comprehensive tracking of patient interactions and the progression of treatments. Users have the ability to condense their sessions into brief summaries and can choose to dictate or record live interactions using the transcription feature, which integrates treatment goals, methodologies, and evidence-based practices. The platform also supports extensive customization of documentation, including the addition of logos, clinician information, patient names, diagnoses, session types, and duration details. By enhancing the efficiency of clinical documentation, AutoNotes seeks to transform the healthcare landscape, ultimately saving time, increasing productivity, improving reimbursement opportunities, and minimizing staff turnover, which allows healthcare professionals to dedicate more time to providing outstanding patient care. Furthermore, this tool not only improves documentation practices but also fosters better communication between clinicians and their patients, leading to a more collaborative healthcare environment.

MediLogix is an advanced clinical documentation platform powered by AI, aimed at significantly simplifying and enhancing the process of creating medical records for healthcare providers. By capturing a single patient encounter, clinicians can leverage the system’s AI, which converts that input into eight different types of comprehensive documents, including full transcripts, patient summaries, treatment plans, and instructions for wound care or medication, as well as coding suggestions, reusable templates, and protocol analyses. Unlike standard speech-to-text solutions, this AI goes further by analyzing clinical context in real-time and tailoring its outputs to align with specialty-specific nuances, such as those found in cardiology or orthopedics, while maintaining the physician's unique voice, reasoning, and decision-making patterns instead of generating generic notes. Furthermore, all outputs created by the AI are meticulously reviewed by human medical transcriptionists, ensuring not only accuracy but also the interpretation of nuanced elements like tone, sentiment, and clinical subtleties, which are vital for high-quality patient care. This blend of technology and human oversight ultimately enhances the documentation process, allowing clinicians to focus more on patient interaction.

QuicDoc® Professional places essential information right at your fingertips! It is an economical, trustworthy, and clinically pertinent solution, specifically designed for individual practitioners and small group offices. You can effortlessly and swiftly retrieve all necessary patient information, including session histories, diagnoses, and authorizations. Every feature can be accessed directly from the main interface, encompassing tools for tracking progress and managing schedules. Regardless of your experience level, you will discover that QuicDoc Professional is intuitive and simple to navigate! The interface is designed for ease of use, making it user-friendly and clinically significant. It provides prompts that assist in creating comprehensive documentation, covering everything from intake and discharge to treatment plans and notes on missed appointments. A dedicated reminders window keeps you updated on daily appointments, treatment plan due dates, tasks, and authorizations approaching their expiration. Additionally, QuicForms streamlines the process by automatically populating treatment plan documents. You can effectively monitor treatment plans, track progress, assess symptoms, gather patient feedback, and evaluate outcomes, ensuring a thorough approach to patient care. This comprehensive tool is perfect for enhancing efficiency in clinical practice.