The on-device alternative to Abridge and cloud medical scribes.
Silo Scribe is a 100% on-device clinical documentation assistant for macOS: a private alternative to cloud scribe tools like Abridge that records sessions, transcribes locally, and drafts structured SOAP and DAP notes on your Mac, with no PHI ever leaving the device.
Silo Scribe vs Abridge.
dimension by dimension| Dimension | Silo Scribe | Cloud (Abridge, DeepScribe) |
|---|---|---|
| Where it runs | On your Mac (Apple Silicon, offline) | Their servers |
| PHI & audio | Never leaves your Mac (notes AES-GCM at rest) | Uploaded & processed in cloud |
| Account | None required | Required |
| Note templates | SOAP, DAP, BIRP and intake, all included | Varies by EHR integration |
| Speaker labels | On-device estimate you confirm or correct | Cloud diarization |
| Pricing | One-time $29.99 | Per-clinician subscription |
| EHR integration | Export Word, PDF, Markdown, or text you paste | Direct EHR integrations |
| Works without internet | Yes; optional models download once | No |
Abridge column describes the category in general and has not been checked against a dated vendor source. Names are trademarks of their owners; not affiliated.
Abridge alternative, answered.
Silo Scribe · on-deviceYes, for clinicians who want documentation assistance without sending PHI to a third-party cloud. Silo Scribe records, transcribes, and drafts structured notes entirely on your Mac, with no upload; you export the verified note and paste it into your EHR.
No. Audio, transcripts, and notes stay on your Mac, and note bodies are AES-GCM encrypted at rest. There is no server, no account, and no telemetry. PrivacyInfo.xcprivacy declares zero data collection.
SOAP, DAP, BIRP, and intake templates are all included in the one-time purchase, with no Pro tier and no subscription. You review and verify every note before use.
No. Silo Scribe is a documentation and productivity tool. It does not diagnose, does not recommend treatment, does not make automated risk assertions, and does not assign CPT or ICD codes. You remain the author of every note.
Keep your work on your Mac.
Silo Scribe: $29.99 one-time · no subscription. No subscription, no account, nothing uploaded — a private, on-device alternative to Abridge.