Privacy-Grade AI.
On Your Hardware.

Patient records and intake paperwork processed on a machine in your office — so protected health information never touches a vendor cloud. One-time setup, you own the system.

Book a Call → The Starter Workflow
Nationwide — we travel to you Your hardware, your office

The problem with cloud AI in healthcare

Protected health information is the most regulated data your practice touches — and every cloud AI tool asks you to ship it to a server you don't control, under a business-associate agreement you have to trust. Your staff is buried in intake paperwork, referral letters, and prior-auth follow-ups; the tools that could help are the ones your compliance program can't clear.

  • Cloud AI platforms train on user data by default — your patients' PHI included
  • Per-seat subscriptions that escalate as the practice grows
  • Vendor breaches you read about in the news — with patient records in them
  • HIPAA exposure every time PHI leaves the building — and a BAA to negotiate for the privilege
THE STARTER WORKFLOW

Patient Intake → Structured Summary + Referral Letter

One packaged job, not eight vague capabilities. The first workflow we automate for a practice.

How it starts: A new patient intake (form, referral fax, or scanned document) lands in a folder on your machine.

What you get: A structured intake summary plus a first-draft referral or follow-up letter — written in your practice's voice, from your own templates, reviewed by your clinical staff before anything sends.

Timeline: Configured and running on your hardware within the first on-site day. Staff trained before we leave. Built to slot into your existing HIPAA program — your compliance officer approves the workflow.

Cloud-based AI rents you an assistant that lives in their building. TidalForge installs an assistant that lives in yours. Theirs learns for everyone; yours only knows your practice and your patients.

The cloud alternative: HIPAA coverage is not available on small-business cloud plans at any price — a BAA requires their top-tier enterprise agreement, and PHI still processes on vendor servers. TidalForge: $900 once — there is no vendor in the loop at all. PHI never leaves your building.

What runs on your machine

Records triage

Incoming referrals, faxes, and intake forms read, classified, and routed to the right patient folder — automatically, offline.

Referral & follow-up drafting

First drafts of referral letters, prior-auth appeals, and patient follow-ups from your templates. Your staff approves; nothing sends itself.

Document Q&A

Ask questions across your own matter documents. Answers come from your files — on your machine.

Setup from $900 on hardware you already have (need a box? a 32GB+ mini PC runs ~$400–550, spec sheet included). Optional support after that — or self-manage and pay nothing.

healthcare practices questions

No. Processing happens entirely on your hardware. There is no vendor server involved in day-to-day operation — the network connection isn't part of the workflow. Pair that architecture with your own compliance policies and counsel's guidance.

No. It works from the documents your staff places in its folders — alongside your EHR, not inside it. EHR integrations are new workflows, quoted separately and built only if you want them.

The architecture is built for it: PHI stays on hardware you own, with no vendor in the processing loop. Your compliance officer reviews and approves every workflow before it goes live — and we recommend reading our HIPAA-Compliant AI Without the Cloud overview.

Ready to see it on your own files?

Bring one real workflow to the call. We'll scope it honestly and price it before you commit to anything.

Book a Call →