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.
on-device · vs cloud| Dimension | Silo Scribe | Cloud (Abridge, DeepScribe) |
|---|---|---|
| Where it runs | On your Mac (Apple Silicon, offline) | Their servers |
| PHI & audio | Never leaves your Mac (AES-GCM at rest) | Uploaded & processed in cloud |
| Account | None required | Required |
| Note templates | SOAP, DAP, BIRP, intake — all included | Varies by EHR integration |
| Speaker diarization | On-device (clinician vs. client) | Cloud diarization |
| Pricing | One-time $49.99 | Per-clinician subscription |
| EHR integration | Export Markdown/PDF you paste | Direct EHR integrations |
| Works without internet | Yes, after one model download | No |
Cloud column reflects the typical architecture of Abridge and similar hosted tools. 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 — the same workflow Abridge offers, but with no upload.
No. Audio, transcripts, and notes are encrypted locally on your Mac. 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 — no Pro tier, no subscription. You review and verify every note before use.
No. Silo Scribe is a documentation and productivity tool. It does not diagnose, treat, or make clinical recommendations — you remain the author of every note.
Keep your work on your Mac.
Silo Scribe is a one-time $49.99 purchase on the Mac App Store. No subscription, no account, nothing uploaded — a private, on-device alternative to Abridge.